Kelly Moore
Richlands,NC
Summary
Hardworking Insurance Authorization Specialist with successful background working closely with insurance company representatives to gain preapproval for procedures and testing. Detail-oriented performer with over 10 years of managing documentation. Considered team player with exemplary multitasking skills.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Insurance Authorization Specialist
Integrated Rehabilitation Group
05.2022 - Current
- Verify eligibility and benefits with patient's insurance companies
- Confirm insurance deductibles, out of pocket amount, coinsurance/copays
- Maintain authorization request, approvals, and denials
- Enter billing charges and CPT codes
- Manage and send end-of-day reports
- Proficient in Athenahealth EMR system.
Patient Service Representative - remote
Atlantic Medical Management, LLC
07.2020 - 02.2021
- Route calls through a multi-line system to appropriate personnel
- Schedule/ cancel patient appointments and update patient information
- Check patients in/out of appointments
- Log data using windows excel
- Greet patients with a friendly attitude
- Review medical records to ensure all information from the visit was entered
- Collect payment and post to accounts
- Keep detailed logs of daily payments
- Proficient in Nextgen systems.
Medical Receptionist
Medfirst Immediate Care and Family Practice
02.2020 - 06.2020
- Greet and direct patients and visitors
- Collects co-pays and deductibles
- Check-in patients and update information
- Scan/copy patient insurance cards
- Update patient charts and prepare new ones
- Post charges and payments collected
- Schedule appointments
- Make necessary changes to the appointment schedule
- Balance daily transactions and cash drawer
- Answer multi line telephone
- Send faxes and file incoming faxes into patient charts.
Patient Care Specialist
Coastal carolina neuropsychiatric clinic
03.2017 - 09.2019
- Room patients and record patient vitals
- Submit prior authorization request for medication and services
- Review ICD 10/ CPT codes and medical documentation in chart
- Coordinate with insurance companies and pharmacies
- Complete patient forms such as short term disability paperwork
- Assist providers with admitting patients to inpatient care when necessary
- Proficient in E-clinical works.
Education
Associate's degree - Medical Billing & Coding
Bryant & Stratton College-Online
08.2023
CMAA - Medical Administrative Assistant
Caring for life
Jacksonville, NC02.2016
Skills
- Prior Authorization Knowledge
- ICD-10 Coding Knowledge
- Strong Communication Skills
- HIPAA Compliance Understanding
- Medical Billing Familiarity
- Documentation Management
- Benefit Coverage
- Physician order verification
- Medicare and Medicaid knowledge
- Effective communication skills
- Retro-Authorizations
- Patient Scheduling
- Data Entry
- Medical Terminology
- Multitasking Abilities
Certification
- Certified Coding Associate, 02/01/23, Present
- Certified Coding Specialist, 01/01/24, 01/01/26
- RHIT, AHIMA
- RHIA, AHIMA
- Medical Coding Certification
- Medical Billing Certification
Assessments
- Protecting patient privacy, Proficient, 03/01/22
- Data entry: Attention to detail, Proficient, 01/01/22
- Administrative assistant/receptionist, Proficient, 01/01/22
- Work style: Conscientiousness, Proficient, 02/01/22
- Medical terminology, Proficient, 02/01/24
- Attention to detail, Proficient, 03/01/22
- Protecting patient privacy, Proficient, 01/01/23
- Work style: Reliability, Proficient, 08/01/21
- Medical billing, Proficient, 01/01/24
Timeline
Insurance Authorization Specialist
Integrated Rehabilitation Group
05.2022 - Current
Patient Service Representative - remote
Atlantic Medical Management, LLC
07.2020 - 02.2021
Medical Receptionist
Medfirst Immediate Care and Family Practice
02.2020 - 06.2020
Patient Care Specialist
Coastal carolina neuropsychiatric clinic
03.2017 - 09.2019
Associate's degree - Medical Billing & Coding
Bryant & Stratton College-Online
CMAA - Medical Administrative Assistant
Caring for life