Iman Higgins
Snellville,GA
Summary
Hardworking and passionate job seeker with strong organizational skills seeking to successfully obtain and maintain a employment.
Overview
10
10
years of professional experience
Work History
Prior Authorization Representative
Cigna
05.2023 - Current
- Improved patient satisfaction by efficiently processing prior authorization requests and ensuring timely responses.
- Streamlined workflow for faster approval turnaround times, handling high volume of insurance verification tasks.
- Collaborated with healthcare providers to expedite the process of obtaining necessary medical documentation for approvals.
- Provided exceptional customer service, addressing inquiries from both patients and healthcare providers promptly and professionally.
- Achieved high customer satisfaction ratings by providing timely updates to patients and healthcare providers on the status of their requests.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
Patient Care/Benefit Coordinator
Pacific Dental
02.2020 - 10.2022
- Organized patient records and database to facilitate information storage and retrieval.
- Responded to inquiries by directing calls to appropriate personnel.
- Performed as subject matter expert for case management processes.
- Delivered excellent patient experiences and direct care.
- Answered incoming calls, scheduled appointments and filed medical records.
- Verified patient insurance eligibility and entered patient information into system.
- Greeted and assisted patients with check-in procedures.
Dental Receptionist
Gwinnett Dental Image
06.2018 - 01.2020
- Completed patient registrations
- Patient intake interviews, recording and documenting relevant information.
- Prepared and processed patient referrals and transfer requests.
- Helped patients complete necessary medical forms and documentation.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Scheduled, rescheduled, and cancelled appointments for dental patients.
- Communicated with insurance companies to dispute unpaid claims and verify patient coverages.
- Placed new supply orders, managed inventory and restocked clerical spaces.
- Prepared insurance claim forms, explained benefits, and outlined pricing details for procedures and services.
- Received and routed laboratory results to correct clinical staff members.
Dental Receptionist
Great Expressions Dental Centers
09.2014 - 06.2018
- Answered phone calls and messages for physicians, scheduling appointments, and handling patient inquiries.
- Prepared and processed patient referrals and transfer requests.
- Helped patients complete necessary medical forms and documentation.
- Registered and verified patient records before triage with most up-to-date information.
- Communicated with insurance companies to dispute unpaid claims and verify patient coverages.
- Scheduled, rescheduled, and cancelled appointments for dental patients.
- Performed various administrative tasks by filing, copying and faxing documents.
- Received and routed laboratory results to correct clinical staff members.
- Greeted visitors and patients to determine needs, check appointments, and direct accordingly.
Education
Certificate - Dental Reception
Dental Careers Institue
Atlanta, GA08.2014
High School Diploma -
Shiloh High School
Snellville, GA05.2012
Skills
- Scheduling
- Outbound Calling
- Patient Care and Monitoring
- Patient Rapport
- Insurance Verification
- Customer Service
- Claims Handling and Coverage Verification
- Verbal and Written Communication
- Improve Patient Care
- Office Supplies and Inventory
- Patient Registration
- Appointment Confirmation
- Data entry proficiency
- HIPAA Compliance
- Medical terminology knowledge
- Electronic Refill Request Processing
- Authorizations
- Cover determination requests
- Data Entry
- Excellent Communication
Timeline
Prior Authorization Representative
Cigna
05.2023 - Current
Patient Care/Benefit Coordinator
Pacific Dental
02.2020 - 10.2022
Dental Receptionist
Gwinnett Dental Image
06.2018 - 01.2020
Dental Receptionist
Great Expressions Dental Centers
09.2014 - 06.2018
Certificate - Dental Reception
Dental Careers Institue
High School Diploma -
Shiloh High School
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