Megan Phillips
MEMPHIS
Summary
Motivated and detail-oriented Authorization Specialist with a strong background in verifying patient coverage, processing authorizations, and ensuring compliance with healthcare policies. Recognized for exceptional organizational skills, accuracy, effective communication, and commitment to quality service. Holds an Associate of Arts degree in Business Administration and is currently pursing a Bachelor's degree in Business Administration with a concentration is Health Administration. Eager to expand into new opportunities and management/Supervisor roles, contributing to organizational success and continuous improvement within the healthcare field.
Overview
18
18
years of professional experience
Work History
Authorization Specialist
Regional One Health Medical Center
03.2022 - Current
- Completes pre-registration prior to patient appointment to ensure accuracy of patient information
- Obtains authorizations for outpatient evaluations and treatments
- Review and correct claim submissions and charge denials in a timely manner in order to get reimbursed with in the CMS guide lines
- Obtain Certification signatures for patients to continue post acute therapy
- Established databases to track, analyze and automate eligibility application processes.
- Process internal and external outpatient referrals
- Submit claims and Prepare appeals
Administrative Assistant
Regional One Health
10.2015 - Current
- Scheduled patient appointments and placed reminder calls to deliver exceptional customer experience.
- Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
- Conducted insurance verification and preauthorizations and managed patient charts.
- Prepared and maintained accurate digital health records for patients.
- Organized paperwork such as charts and reports for office and patient needs.
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
- Verified insurance coverage to prepare for upcoming patient appointments.
- Coordinated customer service, patient scheduling and billing.
- Completed billing and coding duties to handle submitted claims.
- Improved timely payment of bills by developing flexible payment plans for patients.
- Supported providers in outpatient medical office through coordinating administrative operations.
Rehab Therapy Aide
Regional One Health
01.2012 - 10.2015
- Communicated with physicians to provide updates on patient care.
- Followed all HIPAA rules and regulations regarding patient confidentiality.
- Scheduled patient appointments to meet treatment requirements and provide quality care.
- Disinfected tools, equipment and surfaces between patients.
- Assisted patients with therapy exercises as specified by care team.
- Assisted front desk by answering phones, scheduling appointments, filing documents and processing payments.
- Maintained supply inventory by placing orders when supplies ran low.
Home Care Aide
Angels Around The Clock
08.2010 - 04.2015
- Assisted patients with handling daily chores and errands by transporting to appointments, cleaning personal spaces and purchasing supplies.
- Kept close eye on behavior and emotional responses of clients to address concerns and protect each person from harm.
- Determined specific needs and provided most appropriate level of services for patient well-being.
- Monitored and maintained cleanliness, sanitation and organization of assigned station and service areas.
- Planned, prepared and served meals and snacks according to prescribed diets.
- Checked vital signs on daily basis and contacted supervisor regarding patient health concerns or behavioral changes.
- Administered medications to patients and remained vigilant for negative side effects.
- Assisted disabled clients to support independence and well-being.
Direct Support Professional Caregiver
Support Solutions Of Mid-South
05.2008 - 02.2012
- Planned healthy meals, purchased ingredients and cooked meals to provide adequate nutrition for client wellbeing.
- Engaged patients in meaningful conversation, socialization and activity while providing personal care assistance.
- Supported clients with mental support and physical activities to accomplish quality of life and sustain needs.
- Cleaned house, ran errands, managed laundry and completed weekly grocery shopping.
- Recognized and reported abnormalities or changes in patients' health status to case manager.
- Assisted clients with daily living needs to maintain self-esteem and general wellness.
- Assisted patients with self-administered medications.
Hospital Service Technician
Regional One Health
02.2010 - 01.2012
- Gathered and set up equipment, tools and supplies and arrange instruments according to surgeons' preferences or instruction.
- Delivered services to customer locations within specific timeframes.
- Performed frequent inspections of company equipment and corrected malfunctioning equipment.
- Maintained documentation of equipment maintenance tasks, new installations and repair procedures.
Education
Associate of Arts - Business Administration And Management
Strayer University
Washington, DC04-2026
Certification - Medical Office Assistant
Lab Four Professional Development Center
Memphis, TNHigh School Diploma -
Memphis Health Careers Academy
Memphis, TNSkills
- Patient Scheduling
- Understanding of medical ethics
- Insurance billing
- Managing patient records
- Critical Thinking
- Multitasking Abilities
- First Aid/CPR
- Dependable and Responsible
- Software Proficiency
- Understanding of medical terminology
- Prior authorization processing
- HIPAA compliance
- Data entry proficiency
- Insurance verification
- Medical coding
- Claims management
Timeline
Authorization Specialist
Regional One Health Medical Center
03.2022 - Current
Administrative Assistant
Regional One Health
10.2015 - Current
Rehab Therapy Aide
Regional One Health
01.2012 - 10.2015
Home Care Aide
Angels Around The Clock
08.2010 - 04.2015
Hospital Service Technician
Regional One Health
02.2010 - 01.2012
Direct Support Professional Caregiver
Support Solutions Of Mid-South
05.2008 - 02.2012
Certification - Medical Office Assistant
Lab Four Professional Development Center
High School Diploma -
Memphis Health Careers Academy
Associate of Arts - Business Administration And Management
Strayer University