Michelle Allen
Greensboro,NC
Summary
Dynamic Patient Case Coordinator with extensive experience at Knowtion Health, adept at navigating complex insurance processes and advocating for patient care. Proficient in Electronic Health Records (EHR) and skilled in coordinating multidisciplinary teams to enhance treatment outcomes. Committed to delivering quality, cost-effective healthcare solutions while ensuring compliance with HIPAA regulations.
Overview
2025
2025
years of professional experience
Work History
Patient Case Coordinator
Knowtion Health
Greensboro, NC
02.2023 - 10.2024
- Worked with interdisciplinary team to organize and implement patient care plans.
- Assisted with examinations, treatments and office procedures.
- Prepared patients for appointments, completing intake processes and giving instructions.
- Ordered diagnostic tests and requested specialist care to meet patient needs.
- Supported procedures by handling instruments and monitoring patients.
- Offered knowledgeable, evidence-based health services in community-based locations.
- Delivered evidence-based, cost-effective care following facility policies.
- Advised patients on at-home care and preventive lifestyle choices.
- Maintained accurate records and charted consistently in EHR system.
- Assisted clients with setting, developing and achieving personal goals.
- Executed emergency procedures, phone trees and program evacuation plans.
- Completed comprehensive assessments of individualized treatment plans for each client and developed written service plans.
- Facilitated transfer of records between different service groups.
- Advocating patients needs and monitoring progress for improved health outcomes arranging follow-up services.
Hospital Billing Representative
The Queen's Medical Center
07.2022 - 11.2022
- Promotes and maintains Revenue Cycle Integration and claims
- Collaborating with patients or customers, third party institutions and other team members to resolve billing inconsistencies and errors
- Creating invoices and billing materials to be sent directly to a customer or patient
- Inputting payment history, upcoming payment information or other financial data into an individual account
- Finding financial solutions for patients or customers who may need payment assistance
- Informing patients or customers of any missed or upcoming payment deadlines
Insurance Enrollment
Elevance Healthcare
01.2021 - 12.2021
- Enrolled eligible candidates in new Medicare insurance enrollment.
- Answered inquiries on insurance policies.
- Checked on policy status for inquiring customers.
- Upgraded insurance policy as needed for inquiring customers.
- Contract position
Claims Processor
Dick's Sporting Goods
04.2019 - 12.2019
- Processed accounts receivable
- Processed claims and entered them into the company system.
- Received incoming calls and assisted customers with questions and concerns.
- Performed outreach calls to customers.
- Remote position
Claims Processor
BroadPath Healthcare Solutions
New Hyde Park, NY
02.2009 - 02.2012
- Validate the information on all medical claims received to ensure its accuracy.
- Processed claims and entered them into company computer system and knowledge of prior authorization
- Maintained / managed all claim inventories in accordance with health plan and regulatory policies.
- Displayed maturity, composure and ability to operate under stressful conditions.
- Submit detailed authorization requests through electronic health records (EHR) systems, online portals, or via telephone.
Medical Biller / Coder
Long Island Jewish Hospital
New Hyde Park, NY
02.2004 - 02.2009
- Abstracted, interpreted, and reviewed medical records to assign appropriate coding accurate CPT-4 procedure.
- Assigned ICD-9 diagnosis codes for procedures performed in the operating room, complex services performed in a procedure room (e.g. Interventional Radiology), procedure coding, and / or MS-DRG assignment.
- Applied appropriate modifiers.
- Clarified physician documentation as appropriate.
- Applied medical terminology, anatomy, physiology, surgical technology, pharmacology, and disease processes. Also direct patient care dealing with vital signs giving out medication ADLs just assisted me a patient with daily things that need to be to be done wound care
Medical Assistant Patient Care
Park Health Center
Queens, NY
2000 - 2004
- Supported healthcare providers in conducting patient examinations and procedures.
- Managed appointment scheduling and maintained accurate patient records.
- Administered medications and immunizations under physician supervision.
- Executed routine laboratory tests and processed specimens with precision.
- Educated patients on treatment plans, medications, and preventive care strategies.
- Obtained client medical history, medication information, symptoms, and allergies.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
- Executed phlebotomy tasks with precision, prioritizing patient comfort during blood collection procedures.
- Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
- Conducted patient follow-up calls to monitor treatment progress and answer any questions.
- Assisted with billing and coding processes, ensuring accurate insurance claims and patient invoicing.
- Completed EKGs and other tests based on patient presentation in office.
- Collected and documented patient medical information such as blood pressure and weight.
- Documented and organized patient medical histories, vital signs, and current complaints during intake procedures.
- Executed preparation of lab specimens for diagnostic evaluation processes.
- Liaised with patients and addressed inquiries, appointment requests and billing questions. Assist patients with their medicine in also doing ADLs
Education
Associate of Science Degree - Medical Billing and Coding
Ultimate Medical Academy
Medical Assistant / Biller
Ultrasound Diagnostic School
Carle Place, NYMedical Manger Program
Ultrasound Diagnostic School
Carle Place, NYSkills
- Electronic Health Records (EHR)
- Payment Posting
- Scheduling
- HIPAA Compliance
- Insurance Verification
- Deductibles
- Insurance Claim Processing
- EOBs
- Co-Payments
- Managed Care (HMO, PPO, and POS)
- Government Payers
- Third Party Payers
- Workers Compensation
- Medical Billing
- Medical Coding
- ICD-9
- ICD-10
- HCPCS
- CPT
- Medical Terminology
- Medicare
- Medicaid
- Tricare
- CMS 1500
- CMS 1450 (UB-04)
- Prior Authorization Specialist
- Advocate for patients care to ensure quality
- Liaison for insurance providers doctors and patients
- Coordinating with home healthy services rehabilitation for Hospital Care hospice Care Medical equipm
- Support in Guide patience and navigate for their support
- Arranging follow-up services planning and discharging for patients needs patience vitals signs patients medication
Language
English
Fluent
Timeline
Patient Case Coordinator
Knowtion Health
02.2023 - 10.2024
Hospital Billing Representative
The Queen's Medical Center
07.2022 - 11.2022
Insurance Enrollment
Elevance Healthcare
01.2021 - 12.2021
Claims Processor
Dick's Sporting Goods
04.2019 - 12.2019
Claims Processor
BroadPath Healthcare Solutions
02.2009 - 02.2012
Medical Biller / Coder
Long Island Jewish Hospital
02.2004 - 02.2009
Associate of Science Degree - Medical Billing and Coding
Ultimate Medical Academy
Medical Assistant / Biller
Ultrasound Diagnostic School
Medical Manger Program
Ultrasound Diagnostic School
Medical Assistant Patient Care
Park Health Center
2000 - 2004