Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Jamie Keegan

Centerburg,OH

Summary

Detail oriented healthcare professional with 9+ years experience in patient care. Skilled in pre-certification, denial management and insurance verification. Seeking a challenging position where my abilities can be highly utilized in a growth-oriented and professional environment.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Medical Precertification Specialist

Orthoalliance
10.2022 - Current
  • Expedited treatment commencement by promptly acquiring authorizations for medically necessary services within required time frames.
  • Ensured smooth communication between healthcare providers, patients, and insurance companies, resulting in timely approvals and positive outcomes.
  • Conducted thorough follow-ups with insurance companies, ensuring timely receipt of authorization numbers for approved services.
  • Contributed extensively to departmental goals through consistent achievement of individual performance benchmarks related to precertification accuracy and timeliness.
  • Maintained strict adherence to HIPAA regulations by safeguarding confidential patient information during all aspects of the precertification process.
  • Continuously expanded personal knowledge of industry regulations and updates through ongoing professional development, ensuring accurate and up-to-date expertise in the precertification process.
  • Increased accuracy of submitted claims through meticulous attention to detail in verifying insurance eligibility and benefits.
  • Facilitated successful appeals for denied services by providing detailed documentation supporting medical necessity as required by insurers.

Patient Services Supervisor

JIS Orthopedics
08.2015 - 10.2022
  • Improved patient satisfaction by implementing efficient scheduling and appointment management systems.
  • Collected patient co-pay and issued receipt to confirm payment.
  • Collaborated with colleagues to maintain and upkeep office and waiting area to provide clean and organized environment for patients.
  • Collected forms, insurance card and co-pay to facilitate registration process and prepare patient for appointment.
  • Investigated, triaged and resolved patient issues to encourage positive experience during patient visit.
  • Inputted accurate patient insurance, billing and payment information in MedEnt.
  • Contacted insurance company to verify patient coverage before visit.
  • Administered billing functions to maintain profitability and meet compliance, quality and productivity standards.
  • Maintained compliance with industry regulations through accurate documentation, consistent policy enforcement, and ongoing staff education.
  • Streamlined patient admission processes for a more efficient and pleasant experience.
  • Enhanced overall department performance by setting clear expectations measuring progress against goals, providing timely feedback to staff members on their performance.
  • Oversaw the recruitment process for new hires, ensuring a qualified team of dedicated professionals was employed at all times.
  • Trained and mentored new employees in registration department, answered questions and provided insight on patient services.

Education

Clyde High School
Clyde, OH

Business Management -

The University of Findlay
Findlay, OH

Skills

  • Strong Communication Skills
  • HIPAA compliance awareness
  • Insurance Verification Expertise
  • Microsoft Office
  • Organization and Time Management

Certification

Certified Physician Practice Managemnt certification 2019

Timeline

Medical Precertification Specialist

Orthoalliance
10.2022 - Current

Patient Services Supervisor

JIS Orthopedics
08.2015 - 10.2022

Clyde High School

Business Management -

The University of Findlay

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Jamie Keegan