Knowledgeable Billing and Collection Specialist with proven track record in managing authorization processes and ensuring compliance with industry standards. Adept at coordinating with team members and healthcare providers, leading to streamlined operations and improved patient satisfaction. Demonstrated expertise in problem-solving and attention to detail, ensuring timely and accurate processing of authorizations.
Overview
9
9
years of professional experience
Work History
Authorization Specialist II
Steward Health Care System LLC
07.2019 - 05.2024
Current on all insurance carriers, CPT, ICD-10 and prior authorization requirements.
Develops and maintains positive relationships with referring physicians and patients.
Knowledge of radiology procedures including: Mammography, CT, Bone Densitometry, Ultrasound, MRI, Nuclear Medicine, PET, Fluoroscopy, IR, and X-ray.
Develops and maintains positive relationships with referring physicians and patients.
Routine office administration procedures including typing, sorting, and reviewing referrals, faxing
Ability to maneuver in insurance websites to verify insurance coverage and claim status.
Knowledge of insurance carriers, insurance web sites and authorization processes.
Communicate professionally with other medical facilities, patients, and customers.
A/R Collection Specialist III
Alliance Family of Companies
08.2015 - 06.2019
Corrected and re-billed denied claims when necessary and performed secondary billing.
Worked special projects for government and commercial payers.
Efficiently performed insurance verification, pre-certification, and pre-authorization functions.
Obtained payments by contacting insurance carriers regarding unpaid account within a timely manner.
Answered patients’ questions regarding problems with their accounts.
Ensured that medical collection activities were conducted in accordance with company, federal, and state guidelines.
Relentlessly submitted written appeals to payers on denied claims for adjudication and resolution.
Traveling Certified Surgical Technologist at Steward Health Care Now Orlando HealthTraveling Certified Surgical Technologist at Steward Health Care Now Orlando Health