LaMona Hunter
Sun City,AZ
Summary
Enthusiastic and well-organized Office Assistant with a strong background in authorizations and intake, insurance verification, patient care assistance, HIPAA compliance, medical billing and insurance claims, ICD-10 coding, healthcare insurances, and full cycle revenue account receivable. Proficient in medical terminology and excellent customer service and patient advocacy skills. Experienced in home infusion, DME, remote work, dispatch, and telecommunication with a designated home office.
Professional intake specialist with strong track record in client assessment and engagement. Proven ability to enhance intake processes, fostering positive client experiences and streamlining operations. Renowned for collaborative spirit and adaptability in dynamic environments.
Overview
9
9
years of professional experience
Work History
Intake Specialist
Biotek West/Avasa RX
05.2020 - 04.2025
- Remote pharmacy and medical intake for home infusion
- Prior authorization requests
- Insurance verification
- Claims adjudication
- Patient care coordination
- Data input for PHI
- Resource new referrals
- Update prior authorization requests
- Update insurance information
- Request re-authorization as they expire
- Assist patients with co-pay assistance and financial services
- Communicate with a remote team in other states
- Complete weekly report summaries for medication deliveries
- Communication with reimbursement for patient invoices
- Complete all other assigned tasks
- Gathered comprehensive medical histories from patients, enhancing the accuracy of diagnoses and treatment plans.
- Implemented an electronic record system that increased efficiency in managing patient information.
- Provided compassionate support to patients during their healthcare journey, fostering trust and rapport.
- Facilitated efficient check-in procedures by verifying identification documents, collecting co-payments, and providing necessary forms for completion.
- Collaborated with healthcare professionals to ensure accurate and timely communication of pertinent patient information.
- Conducted thorough insurance verifications to minimize billing errors and financial complications for patients.
- Demonstrated empathy towards each individual''s unique situation when gathering personal health information, fostering a sense of comfort and security.
- Maintained strict confidentiality of sensitive patient data, adhering to HIPAA regulations and organizational policies.
- Liaised between healthcare providers and patients, ensuring clear communication regarding care plans and expectations.
- Maintained accurate and up-to-date client records.
- Completed intake assessment forms and filed clients' charts.
- Answered phone calls and provided new clients with required paperwork to initiate service.
- Communicated with referral sources, physicians, and associated staff to check documentation for proper signatures.
- Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
- Supported office staff and operational requirements with administrative tasks.
- Upheld HIPAA regulations and standards for protecting patient information.
- Secured confidential patient information from unauthorized access.
- Contributed to an organized work environment by meticulously maintaining physical files as well as digital records within the database.
- Optimized time management by prioritizing tasks based on urgency while maintaining attention to detail in all aspects of work responsibilities.
Medical Biller Specialist
United Surgical Partners International
12.2018 - 04.2020
- Remote medical billing from a designated home office
- Telecommunication with distant team
- Billed for outpatient surgery centers in different states (Texas, Colorado, etc.)
- Daily team meetings via telecommunication
- Communicated with doctors and staff
- Assisted outpatient surgical centers in the US with daily billing
- Billed accurate claims
- Read and access daily patient schedules for billing
- Verified coding with Medicare approved codes
- Corrected rejections in Firmed/Advantx
- Uploaded patient statements for mailing
- Communicated with surgical centers for errors and changes
- Ensured 100% accurate claims for 24- to 48-hour processing time
- Problem-solved and managed daily deposits by uploading 80+ claims a day
- Calculated insurance percentages for allowable billing
- Researched rejected claims
A/R Patient Finance Specialist
CVS Health
10.2017 - 12.2018
- Escalated customer calls
- Escalated payer/provider calls
- Claims research
- Billing research
- Claim adjustments
- New customer calls/outbound
- Insurance verification
- Explanation of benefits verification
- Assisted with payment plans
- Problem-solving
- Excellent customer service
- Processed death certificates
- Updated customer billing information
- Outbound calls to customer correspondence
- Patient financial assistance
- Mailed outpatient statements
Senior Medical Biller
01.2017 - 10.2017
- Claim adjustments
- Managed aged accounts
- Zero balance
- Prescription calculations
- Compiled, produced, and approved claims
- Located missing claims
- Verified payers/providers
- Billed clean claims
- Corrected errors on claims
Complex Authorization Specialist
Tri-West Alliance Healthcare
05.2016 - 01.2017
- Physician billing and coding
- Entered and reviewed complicated authorizations and referrals for veteran’s hospitals and other facilities
- Created accurate authorizations with patient information, medical records, and referral forms
- Communicated with healthcare providers and payers
- Updated coding
- Justified codes with accurate service
- Data entry, scanning records, and correcting errors
- Performed multiple tasks in a medical management system
Education
Certification - Insurance and Medical Technology
Allied Business School
01.2016
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BA - Human Services
University of Phoenix
01.2005
AA - Criminal Justice
Commonwealth International University
01.1999
Skills
- Authorizations and intake
- Home infusion Experience
- Insurance verification
- HIPAA compliance
- Medical billing and insurance claims
- ICD-10 coding
- Healthcare insurance Knowledge
- Full cycle revenue account receivable
- Medical terminology
- Customer service and patient advocacy
- Remote work
- Dispatch
- Telecommunication
- Management
- Audits
- Case Management
- Data entry
- Intake assessment
- Compassionate communication
- Critical thinking skills
- Assertiveness
- Progress reporting
- Records maintenance
- Case management
- Records management
- Conflict mediation
- Crisis intervention
- Cross-cultural sensitivity
- Claims processing
- Eligibility review
- Empathic communication
- Client intake
- Appointment scheduling
- Inventory management
- Patient scheduling
- Scheduling appointments
- Charting and clinical documentation
- Client intakes
- Microsoft office
- Customer service
- Active listening
- Problem-solving
- De escalation tactics
- Data confidentiality
- Collaboration and teamwork
- Mental health crisis response
- Heartsaver first aid CPR AED (first aid CPR AED)
- Behavioral intervention
- Workflow management
- Case file management
- Attention to detail
- Document management
- Application processes
- Cultural sensitivity
- Microsoft Access
- Client assistance referrals
- Behavioral disorders
- Medical records review
- Resident support
- Community mental health programs
- Behavioral management planning
- Quality assurance
- Community advocacy
Timeline
Intake Specialist
Biotek West/Avasa RX
05.2020 - 04.2025
Medical Biller Specialist
United Surgical Partners International
12.2018 - 04.2020
A/R Patient Finance Specialist
CVS Health
10.2017 - 12.2018
Senior Medical Biller
01.2017 - 10.2017
Complex Authorization Specialist
Tri-West Alliance Healthcare
05.2016 - 01.2017
BA - Human Services
University of Phoenix
AA - Criminal Justice
Commonwealth International University
Certification - Insurance and Medical Technology
Allied Business School
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