EZEKIEL CHARLES
ATLANTA,GA
Summary
Resourceful professional in healthcare management known for high productivity and efficiency in task completion. Skilled in strategic planning, regulatory compliance, and patient care coordination. Excel at team leadership, problem-solving, and communication, ensuring seamless operations and quality service delivery in fast-paced environments.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Patient Access Supervisor
HC Associates
Atlanta, GA
03.2019 - 03.2025
- Provided guidance to providers regarding the prior authorization process.
- Communicated authorization decisions, including approvals and denials, to healthcare providers and patients.
- Developed and implemented process improvements to enhance efficiency and accuracy of prior authorization workflows.
- Collaborated with insurance companies to clarify coverage details and resolve issues related to prior authorization.
- Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
- Maintained accurate records on all prior authorizations requested, received, and denied.
- Performed quality assurance reviews on completed work products before submission to payers.
- Input claim, prior authorization, and other important medical data into system.
- Maintained accurate and up-to-date records of authorization requests and outcomes in electronic health record systems.
- Prioritized and organized tasks to efficiently accomplish service goals.
Intake Specialist
Health Care Group
Atlanta, GA
04.2016 - 02.2019
- Updated customer accounts, addresses and contact information within call management databases.
- Increased customer satisfaction ratings by effectively answering questions, suggesting effective solutions, and resolving issues quickly.
- Provided customer service support to patients regarding their authorization inquiries.
- Processed electronic authorizations in accordance with established policies and procedures.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Handled billing related activities focused on medical specialties.
- Reviewed denied claims for errors or omissions before finalizing decision notices.
- Monitored reports to identify claims issues and worked with adjusters to resolve problems.
- Analyzed claim records, policy provisions, and other relevant documents to determine validity of claims.
- Organized and verified enrollment and benefits documents.
- Built successful referral network of company representatives, third-party administrators and benefits providers.
- Assisted employees with understanding their health care options, such as HMOs and PPOs.
Apple Solutions Consultant
Apple
Norcross, GA
06.2014 - 03.2016
- Provided technical advice and solutions to customers on Apple products.
- Provided support for iOS devices such as iPhones and iPads regarding configuration changes or application installation and removal.
- Maintained audit trail and statistical records of problems and conditions reported by client.
- Collected, analyzed and reported on data for use in operational planning.
- Identified needs of customers promptly and efficiently.
- Supervised and directed workers engaged in installation of data communication equipment and software.
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
- Collaborated with team leaders on quality audits.
- Implemented policies and standard operating procedures and managed quality, customer service and logistics.
- Reviewed insurance policies to determine coverage and eligibility for claims.
Education
Bachelor of Science - Business Administration And Management
ITT Technical Institute
Greenfield, WI01-2011
Skills
- Prior authorization
- Insurance verification
- Electronic health records
- Data entry
- Quality assurance
- Customer service
- Team leadership
- HIPAA compliance
- EMR updating
- Knowledgeable in [software]
- Insurance claims
- Electronic health records (EHR)
Certification
- CPAR
- EPIC
Timeline
Patient Access Supervisor
HC Associates
03.2019 - 03.2025
Intake Specialist
Health Care Group
04.2016 - 02.2019
Apple Solutions Consultant
Apple
06.2014 - 03.2016
Bachelor of Science - Business Administration And Management
ITT Technical Institute
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