Melissa Block
24066 NW 187th Ave High Springs,FL
Summary
Detail-oriented Authorization Specialist with expertise in insurance verification and authorization processing. Reduces claim denials by streamlining billing coordination and resolving discrepancies, ensuring compliance with regulations and timely access to medical services. Skilled in enhancing patient experiences through effective communication and adherence to HIPAA standards.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Authorization Specialist- Revenue Cycle
UF Health Shands
02.2008 - Current
- Completed insurance verification and benefit authorization to ensure accurate billing documentation.
- Collaborated with insurance companies to expedite verification and authorization, enhancing timely patient care.
- Coordinated pre-authorization for medical treatments prior to appointments to improve patient experience.
- Reviewed and corrected errors in submissions, decreasing claim denials and ensuring accurate reimbursements.
- Resolved billing discrepancies with providers, securing coverage for critical medications and improving patient access to necessary treatments.
- Researched patient eligibility and coverage information to enhance service delivery.
- Entered patient data on claims and prior authorizations accurately into the system.
- Tracked authorization statuses in electronic databases and manual systems to maintain current records.
Education
GED -
Lofoten Highschool
Gainesville, FlSkills
- Insurance verification and authorization
- Compliance and HIPAA adherence
- Billing coordination and medical coding
- Effective communication skills
- Public assistance program knowledge
- Microsoft Office proficiency
- Multitasking and reliability
- EPIC
Certification
Certificate or Licenses
Notary
CPR ad BLS
Notary
CPR ad BLS
Timeline
Authorization Specialist- Revenue Cycle
UF Health Shands
02.2008 - Current
GED -
Lofoten Highschool