Karlie Major
Summary
Desiring a position in a workplace that encourages growth and implementation of new skills and technologies for organizational improvement
Overview
15
15
years of professional experience
Work History
Scheduling / Insurance Verification
Iberia Medical Center
08.2024 - Current
- Maintained high volume of calls and scheduled diagnostic test and surgeries. Create and register charts for upcoming appointments and surgeries. Verified all insurances and obtained pre-certification. Verify insurance for all admits to hospital. Obtained pre-authorization for inpatient hospital stays.
Accounts Receivable Rep
Med-Metrix
04.2023 - 08.2024
- Maintained high volume of calls and met demand of busy and productive group. Researched denied claims and contacted insurance companies to resolve these issues. Reviewed insurance coverage for patients to determine which part was liable for payment. Reviewed coding and denials on provider charges and insurance claims.
Receptionist
Louisiana Orthopedic Specialist
08.2020 - 04.2023
- Greeted incoming visitors and customers professionally and provided friendly services. Verified patient insurance via portals and submitted prior authorization via portals. Coordinated with multiple surgery centers to schedule patients. Delivered exceptional customer service on collection calls to patients and insurance companies and maintained calm and professional demeanor. Maintained high volume of calls and met demand of busy and productive group. Researched denied claims and contacted insurance companies to resolve these issues. Reviewed insurance coverage for patients to determine which part was liable for payment. Collected and processed patient liability prior to planned procedures.
Authorization Specialist
Acadiana Neurosurgeon
12.2018 - 08.2020
- Reached out to insurance carriers to obtain prior authorization for testing and procedures. Input all patient data regarding claims and prior authorization into system accurately. Verified eligibility and compliance with authorization requirements. Schedules appointments/surgeries with applicants to gather information and explained benefits process. Entered daily data into system and documented office activities.
Dental Assistant/ Receptionist
Familia Dental
04.2018 - 12.2018
- Assured timely verification of insurance benefits prior to patient procedures or appointments. Posted payments to accounts and maintained records. Scheduled patient appointments in respective doctors’ calendars and followed up with reminder phone calls. Verified eligibility and compliance with authorization requirements.
Authorization Specialist
Lourdes Oncology Lafayette
11.2015 - 04.2018
- Reached out to insurance carriers to obtain prior authorization for testing and procedures. Input all patient data regarding claims and prior authorization into system accurately. Verified eligibility and compliance with authorization requirements. Schedules appointments/surgeries with applicants to gather information and explained benefits process. Entered daily data into system and documented office activities.
Account Specialist
Heart Hospital of Lafayette
02.2011 - 12.2013
- Verified new patient demographics and entered in system. Coordinated patient scheduling, check-ins, check-out and payment for billing. Helped patient complete necessary medical forms and documentation. Enhanced office productivity by handling high volume of callers per day. Completed and filed financial documentation for accounting purposes.
Education
Diploma - undefined
Westgate High School
01.2009
Skills
- Microsoft Office applications
- Communication skills
- Innovative problem-solving
- Organizational efficiency
- Customer support excellence
- Accounts receivable expertise
- Insurance authorization proficiency
- CMS 1500 form experience
Timeline
Scheduling / Insurance Verification
Iberia Medical Center
08.2024 - Current
Accounts Receivable Rep
Med-Metrix
04.2023 - 08.2024
Receptionist
Louisiana Orthopedic Specialist
08.2020 - 04.2023
Authorization Specialist
Acadiana Neurosurgeon
12.2018 - 08.2020
Dental Assistant/ Receptionist
Familia Dental
04.2018 - 12.2018
Authorization Specialist
Lourdes Oncology Lafayette
11.2015 - 04.2018
Account Specialist
Heart Hospital of Lafayette
02.2011 - 12.2013
Diploma - undefined
Westgate High School
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