Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jatonne Hall

Crowley,TX

Summary

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.
  • Successfully overturning numerous insurance’s decisions.
  • Provided excellent customer service to clients, patient and co-workers.
  • Resolved complaint calls, and serviced as a positive role model for my peers.,

Education

Associate of Applied Science - Word Information Processing Systems

Clovis Community College
Clovis, NM
05-2000

Skills

  • Claims management
  • Insurance verification
  • Data entry proficiency
  • HIPAA compliance
  • Prior authorization processing
  • Medical coding
  • Documentation and paperwork
  • Effective communication skills
  • Policy interpretation
  • Medicaid
  • Eligibility procedures
  • Problem-solving abilities

Timeline

Authorization Specialist II

Steward Health Care System LLC
07.2019 - 05.2024

A/R Collection Specialist III

Alliance Family of Companies
08.2015 - 06.2019

Associate of Applied Science - Word Information Processing Systems

Clovis Community College