KENDI COX
Gallatin,TN
Summary
Detailed Prior Authorization Coordinator with 12+ years committed to never letting vital requests or documents go unprocessed. Diligent tracker of patient outcomes and caretaker feedback. Incorporates empathetic communications with professional best practices to satisfy plan members and business goals alike.
Overview
13
13
years of professional experience
Work History
Prior Authorization Coordinator II
IVX Health
Brentwood, TN
10.2022 - Current
- Improved patient satisfaction by efficiently managing prior authorization requests and ensuring timely approvals.
- Reduced errors in documentation by meticulously reviewing medical records and verifying patient information.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
Patient Care Coordinator
Star Physical Therapy
Goodlettsville, TN
08.2017 - 10.2022
- Explain policies, procedures, or services to patients using medical or administrative knowledge
- Analyze patients' abilities to pay to determine charges on a sliding scale
- Read current literature, talk with colleagues, continue education, or participate in professional organizations or conferences to keep abreast of developments in the field
- Protect the security of medical records to ensure that confidentiality is maintained
- Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer
- Complete forms in accordance with company procedures.
Medical Office Specialist
Advanced Diagnostics Imaging, OB/GYN
Nashville, TN
09.2016 - 08.2017
- Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms)
- Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations
- Answered and managed incoming and outgoing calls while recording accurate messages
- Maintained a clean reception area, including lounge and associated areas
- Streamlined daily reporting information entry for efficient record keeping purposes.
Medical Assistant/Medical Coder
Cumberland Pain Associates
Nashville, TN
10.2011 - 01.2016
- Receive patients, schedule appointments, and maintain patient records
- Answer inquiries concerning the progress of medical cases, within the limits of confidentiality laws
- Perform a variety of clerical and office tasks, such as handling incoming and outgoing mail, completing and submitting insurance claims, typing, filing, and operating office machines
- Record patients' medical history, vital statistics, or information such as test results in medical records
- Prepare treatment rooms for patient examinations, keeping the rooms neat and clean
- Clean and sterilize instruments and dispose of contaminated supplies
- Authorize drug refills and provide prescription information to pharmacies
- Help physicians examine and treat patients, handing them instruments or materials or performing such tasks as giving injections or removing sutures
- Inventory and order medical, lab, or office supplies or equipment.
Education
Certified Affiliate Broker - Real Estate
Continual Learning Institute
Certified Medical Coder - Billing and Coding
Nashville College of Medical Careers
High School Diploma - General Studies
West Monroe High School
Skills
- Critical Thinking Skills
- HIPAA Compliance
- Organizational Skills
- Authorizations
- Benefit Coverage
- Strong Organization
- Retro-Authorizations
- Insurance Verification
- Data entry proficiency
- Medical terminology knowledge
- Medical Coding
- Understanding of insurance details
References
- Heather Jackson, Professional, (573) 864-8587
- Blake Morris, Professional, (615) 653-5977
Timeline
Prior Authorization Coordinator II
IVX Health
10.2022 - Current
Patient Care Coordinator
Star Physical Therapy
08.2017 - 10.2022
Medical Office Specialist
Advanced Diagnostics Imaging, OB/GYN
09.2016 - 08.2017
Medical Assistant/Medical Coder
Cumberland Pain Associates
10.2011 - 01.2016
Certified Affiliate Broker - Real Estate
Continual Learning Institute
Certified Medical Coder - Billing and Coding
Nashville College of Medical Careers
High School Diploma - General Studies
West Monroe High School