Erica Warrior
Kansas City,KS
Summary
To obtain a position that will allow me to utilize my skills to grow within the company. Dedicated administrative professional with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision. Organized and dedicated with proven track record of providing exceptional customer service in fast-paced environments. Offering keen attention to detail and strong decision-making skills to manage multiple, concurrent tasks. Self-motivated work ethic to perform effectively in independent or team environments. Hardworking and passionate job seeker of Patient Service Representative position. Ready to help team achieve company goals.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Pre-Certification Specialist
Children’s Mercy Hospital
01.2008 - 02.2024
- Initiates authorization requests for procedure(s) and/or services performed and/or admissions for a specific date of service by contacting the insurance company, Primary Care Physician, faxing, or utilizing appropriate websites and eligibility/authorization software
- I was working on the Echo Team, as a precertification specialist
- As a part of my experience with CMH, I have also worked with the Genetics Team (Genetic Testing cases using a Tracker System to ensure insurance approves the testing before a date of service is created) and SDS (Same Day Surgery)
- Maintains general understanding of payer guidelines and policies, payer networks, insurance benefits, and review of pertinent clinical information to ensure authorization for services are obtained
- Initiates insurance eligibility verification and enters plan information into computer system
- Reviews insurance benefits for patients and enters into computer system
- Ensures all actions and outcomes are accurately documented on account
- Forwards any parent and/or payer concerns to leadership and/or appropriate team members Identifies and provides relevant clinical documentation and support for prior authorization to insurance company
- Provided ongoing support throughout the entire treatment authorization process, maintaining open communication with patients and healthcare providers.
- Expedited pre-certification approvals, facilitating prompt access to needed medical care.
Billing Clerk
Convoy Systems, LLC
01.1998 - 01.2008
- Successfully complete all jobs by time requested, update and maintain customer data, handle customer inquiries
- Served as office assistant to the management team, handled a busy phone system, functioned as primary liaison to customers and ensured a consistently positive customer experience
- Invoicing all delivery bills for payment
- Quickly became a trusted assistant to the company president, executive staff and office manager and earned a reputation for maintaining a positive attitude and producing high-quality work.
Education
Physician Coding For CPC Preparation Course
AAPC
2022
Certified Healthcare Access Associate
NAHAM
2019
High School Diploma -
Washington High School
Kansas City, KS05.1988
Skills
- Proficient in MS Word/Excel
- Accounts Payable/Receivable
- Medical Terminology
- Report & Document Preparation
- Spreadsheet & Database Creation
- Medical Coding
- Policies & Procedures Manuals
- Meeting & Event Planning
- Data entry proficiency
- HIPAA Compliance
- Customer Service
- Insurance Verification
- Problem-Solving
- Critical Thinking
- Insurance Authorizations
Accomplishments
- I was selected to collaborated with team members on the 2024 Fiscal Year Goal Project.
- Resolved process issues with OON (Out Of Network insurance) using an abnormality tracker method.
Certification
Certified Healthcare Access Associate (CHAA) certification promotes the highest standards of patient access services through the credentialing of those working at the front lines of patient access.
Timeline
Pre-Certification Specialist
Children’s Mercy Hospital
01.2008 - 02.2024
Billing Clerk
Convoy Systems, LLC
01.1998 - 01.2008
Physician Coding For CPC Preparation Course
AAPC
Certified Healthcare Access Associate
NAHAM
High School Diploma -
Washington High School
Similar Profiles
Jolynn D. ParkerJolynn D. Parker
Service Line Director at Children’s Mercy HospitalService Line Director at Children’s Mercy Hospital
Teresa Conneely SmithTeresa Conneely Smith
Admin Assist III at Children’s Mercy HospitalAdmin Assist III at Children’s Mercy Hospital
PJ StrackPJ Strack
Case Management – Utilization Review: Admission & Denials at Children’s Mercy Hospital- Adele Hall CampusCase Management – Utilization Review: Admission & Denials at Children’s Mercy Hospital- Adele Hall Campus
Lisa RuffiniLisa Ruffini
RN BSN at Children’s Mercy HospitalRN BSN at Children’s Mercy Hospital
Pamela WyattPamela Wyatt
Classroom Teacher at Turner USD 202Classroom Teacher at Turner USD 202