HEATHER HOLLAWAY
Brunswick,GA
Summary
Precertification professional with comprehensive experience in healthcare administration and insurance verification. Known for strong interpersonal skills, team collaboration, and adaptability to changing needs. Expertise in medical terminology, patient communication, and claims processing. Reliable, results-driven, and focused on achieving organizational goals.
Overview
12
12
years of professional experience
1
1
Certification
Work History
NRCMA/ Precertification Specialist
Southeast Georgia Health System
04.2016 - Current
- Over 9 years experience Monitor incoming patient orders and gather all information needed to complete authorizations.
- Reviewed clinical documentation for accuracy, ensuring compliance with insurance guidelines and standards.
- Review all orders to ensure all CPT and Diagnosis codes are correct.
- Highly organized with great knowledge of medical terminology with more than 9 years of experience.
- Follows all policies and protocols precisely and always maintains patient confidentiality.
- Management experience
- Implemented process improvements that enhanced operational efficiency across multiple departments.
- Collaborated with healthcare providers to clarify information and resolve discrepancies in precertification requests.
Senior Banker
BB&T
02.2014 - 03.2016
- Developed tailored financial solutions to meet diverse client needs.
- Led team in implementing risk assessment protocols, enhancing compliance standards.
- Over 5 years experience with Mentoring junior bankers, fostering professional growth and improving client service quality.
- Analyzed market trends to inform strategic investment recommendations for high-net-worth clients.
- Balanced teller drawers and ATM cash.
Education
High School Diploma -
James Madison High School
01-2004
NRCMA - Nationally Registered Certified Medical Assistant
Coastal Pines Technical College
Waycross, GA11.2017
Skills
- Prior authorization
- Clinical coding proficiency
- Healthcare billing
- Medical terminology expertise
- Proficient in Microsoft Office
- Documentation expertise
- Expertise in software
- Insurance verification proficiency
- Collaborative teamwork
- Analytical problem-solving
- Strong communication skills
- HIPAA compliance awareness
Certification
NRCMA
CPR and First Aid
Timeline
NRCMA/ Precertification Specialist
Southeast Georgia Health System
04.2016 - Current
Senior Banker
BB&T
02.2014 - 03.2016
High School Diploma -
James Madison High School
NRCMA - Nationally Registered Certified Medical Assistant
Coastal Pines Technical College