Meshia Grayson
Dallas,TX
Summary
Dynamic and detail-oriented professional with extensive office experience, excelling in fast-paced environments while managing high caseloads as an Insurance Specialist. Recognized for exceptional organizational skills and a proactive approach to multitasking, complemented by strong written and verbal communication abilities that enhance customer interactions. A dedicated team player, consistently punctual and eager to embrace new challenges, demonstrating adaptability and a commitment to continuous learning. Proven planning and problem-solving capabilities drive success in achieving organizational goals and delivering outstanding service.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Insurance Specialist I
UT Southwestern Medical Center
09.2023 - Current
- Verifies insurance coverage and eligibility for schedule services, evaluate, Verifies insurance information by utilizing insurance websites or calling insurance companies to verify active coverage, deductible, copay and any other specific information needed in accordance to the verification guidelines. Contact patient as appropriate to collect critical information and/or to advise of benefits information and "out of network" situations. Coordinates with the financial counselor, Enters accurately prior authorization data and in accordance with established guidelines, including diagnosis of service and procedure codes.
- Coordinates physician's office regarding any additional information needed on their part to obtain pre-certification and insurance benefits, provide customer service
- Monitors, verifies, transcribes faxed documents to select insurance companies regarding authorization requests
- Answer inbound phone calls provide excellent customer service.
Referral Coordinator II
American International Group/Health Direct Inc.
07.2008 - 09.2022
- Intake and Processed workman compensation request to Pre-authorization for Medical Necessity. Worked out of assigned queues. Assigned completed request to Nurses to review for Medical Necessity
- Each request was handled according to state mandated guidelines. I entered request then I assign to a UR Nurse that handles the state, I provided customer service for incoming phone calls and handle accordingly.
- Monitored expedited and appeal request to ensure proper handling of getting processed in a timely manner. I worked with assigned vendors when request went through Peer Review. I mailed and Fax notification letters to attorneys and provider office according to the state guidelines. I assisted Management as a person with experience for new employees in the same position (Referral Coordinator) with training on the job. I completed a large amount of request and handled all the states according to AIG standards during my Tenure I received 5 job acknowledgement awards for my high percentage of completing Pre-authorization request and customer service provided.
- Familiar with URAC standards, HIPAA certification, In Learning Training on LinkedIn
Release of Information Coordinator
Healthport EMR formerly (Ciox)
05.2005 - 06.2008
- Health Information Specialist received and processed request for patient health information in accordance with Company and Facility policies and procedures.
- Copied and scanned medical records provided in person customer service, utilized phones, fax machine, printers and other general office equipment. Detail and quality oriented, Notarized Subpoenas for Attorney offices requesting records worked in a fast paced environment. Provided services to Physician offices handling there copying Release of Information request following policies and procedures ensuring HIPAA standards. Maintain confidentiality and security with all privileged information.
- Adhere to the Company's and Customer facilities policies Code of Conduct and policies.
- Prepare new patient charts, gathering documents and information from paper sources and / or electronic health record Ensure medical records are assembled in standard order and are accurate and complete. Answered inbound/outbound calls. Assist with training new hires in position.
Medical Records Technician
Texas Oncology
01.2002 - 05.2005
- Retrieved medical charts for schedule appointments, copied and mailed patient health information. Filing the paperwork and reports of patients quickly and accurately, ensure all patient records are current and organized.
- Answer phones and provided customer service, when needed I assisted with Mail room duties, delivering mail and using the postage meter machine.
Education
High School -
Ada High School
Oklahoma05.1992
Graduate Certificate - Medical Billing And Coding
The College of Health Care Professions
TX08-2023
Skills
- Customer engagement
- Proficient in Microsoft Office Suite
- Effective multi-tasking
Certification
- Notary Public, Texas
- ID No. 125787601
- August 2022 - August 2026
Timeline
Insurance Specialist I
UT Southwestern Medical Center
09.2023 - Current
Referral Coordinator II
American International Group/Health Direct Inc.
07.2008 - 09.2022
Release of Information Coordinator
Healthport EMR formerly (Ciox)
05.2005 - 06.2008
Medical Records Technician
Texas Oncology
01.2002 - 05.2005
High School -
Ada High School
Graduate Certificate - Medical Billing And Coding
The College of Health Care Professions
EDUCATION AND TRAINING
The College of Health Care Professions-Dallas Texas Oct 2022-Aug 2023