MARISSA PROUSE
Savannah,GA
Summary
To continue my career with an organization that will utilize my supervision, motivated and organized skills to provide leadership and maintain high standards in the work place.
Overview
16
16
years of professional experience
Work History
VA Auditing Specialist
St. Joseph/ Candler Hospital
04.2025 - Current
- Submitting VA ER account for authorization
- TPL forms for Tricare/Trilife
- SSI no authorization VA list
- Reach out to departments for missing authorizations
- Correct VA members insurance policy numbers
- Call VA for precertification verification
AR Billing Specialist
Metro Surgical
Rincon, Georgia
01.2024 - 03.2025
- AR Billing
- Reconsiderations
- Verifying insurance collections
- Conducted research into customer payment histories when needed.
- Performed collections activities as necessary to obtain payment from customers.
Pre-certification supervisor
Pagosa Springs Medical Center
Pagosa Springs, CO
06.2021 - 03.2024
- Manage the preauthorization department, submitting payroll, and oversee any issues within the department
- Problem solving with my department and others
- Obtaining prior authorizations for Physical Therapy, Radiology, Surgery cases, and Injection drugs, and Worker's comp cases
- Verifying that Insurance's are correctly inputted to the system, verifying that the insurance's are active
- Working with multiple insurance sites Reading CPT and DX codes
- Helping the denials team with any prior authorization denial's Working closely with some of the physicians for any notes, or orders on patient's
- Working on orders going out to another facility Scanning approval and denial letters into a patient’s chart
Team Leader Patient Registration
St. Joseph/Candler
Savannah, Ga
12.2016 - 06.2021
- Close communication with Management
- Act as sole management when Manager is not readily available
- Payroll and PTO approval
- Input on evaluations, hiring and firing process/applicants
- Assuring adequate staffing throughout areas under my responsibility
- POS collection and deposits daily
- Ordering supplies
Registration/Biller
Dentistry for Children and Adolescents
Savannah, GA
08.2010 - 11.2016
- Being a visible/ helpful/working Team Leader
- Employees always come to me with questions or needing help with an issue
- To be their resource for questions and answers
- Work assigned reports
- Ability to work all aspects of Patient Registration experience
- Ability to motivate and encourage others
- Ability to delegate assignments/tasks in an efficient way
- Obtaining Medicaid and Tricare Authorization's for ER visits
- Operate independently without supervision, check patients in, verify insurance eligibility and patient estimates, collect copay's and deductibles, schedule appointments, answer multi line phone, submit claims electronic for payment, insurance follow up, send appeal letters for denied services, contact patient to collect on outstanding balances, balance deposits daily
Education
General Diploma -
H. V Jenkins High School
Savannah, GA06-2010
Skills
- Customer Service
- Leadership
- Teamwork
- AR aging reports
- Adaptability
- Problem Solving
Timeline
VA Auditing Specialist
St. Joseph/ Candler Hospital
04.2025 - Current
AR Billing Specialist
Metro Surgical
01.2024 - 03.2025
Pre-certification supervisor
Pagosa Springs Medical Center
06.2021 - 03.2024
Team Leader Patient Registration
St. Joseph/Candler
12.2016 - 06.2021
Registration/Biller
Dentistry for Children and Adolescents
08.2010 - 11.2016
General Diploma -
H. V Jenkins High School