Michelle Brown
Rogersville,TN
Summary
Hands-on individual boasting a career spent managing administrative tasks in fast-paced offices with relative ease. A skilled Insurance Verification Specialist with experience in verifying insurance coverage, understanding policies, and processing claims. Strengths include strong analytical skills, attention to detail, and ability to work under pressure. Proven record of improving efficiency in handling claims and enhancing customer satisfaction through timely resolution of disputes and issues.
Overview
9
9
years of professional experience
Work History
Respiratory Intake Specialist
Aveanna Healthcare Medical Solutions
Oklahoma City, OK
07.2024 - Current
- Issued, gathered and inspected intake forms to confirm correct signatures and information.
- Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
- Collaborated with clinical departments to ensure that all necessary information is accurately captured within the EHR system.
- Reviewed and processed prior authorization requests for medical procedures and medications according to established guidelines.
- Collaborated with insurance companies to clarify coverage details and resolve issues related to prior authorization.
- Researched clinical criteria and determined eligibility for requested services based on plan provisions.
Intake Coordinator
Medical Services of America
Rogersville, TN
09.2019 - 02.2024
- Conducted follow-up communication with clients to evaluate satisfaction and outcomes of services provided.
- Coordinated the intake process for new clients, including scheduling initial assessments and providing necessary paperwork.
- Coordinated the intake process, ensuring all required documentation was collected and processed.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Analyzed and interpreted insurance coverage policies to determine patient eligibility for services.
- Monitored and tracked the status of pending insurance verifications and authorizations.
Manufacturing Associate
Hutchinson Sealing Systems
Church Hill, TN
02.2017 - 09.2019
- Performed inspections during production to detect quality problems.
- Adhered to current good manufacturing practices to support proper design, monitoring, and control of manufacturing processes and facilities.
- Assist in the development of new production techniques or processes aimed at increasing productivity levels.
- Ensure compliance with all applicable health and safety regulations when operating machinery.
- Inspected finished products to verify conformance with customer requirements.
- Troubleshoot problems in the manufacturing process by identifying root causes and proposing solutions.
Intake Coordinator
Medical Services of America
Rogersville, TN
02.2016 - 12.2016
- Coordinated the intake process, ensuring all required documentation was collected and processed.
- Facilitated communication between clients, family members, and healthcare providers to ensure seamless service delivery.
- Managed confidential client data in compliance with HIPAA and other relevant regulations.
- Analyzed and interpreted insurance coverage policies to determine patient eligibility for services.
- Accessed third-party insurance databases to identify coverage of benefits.
- Coordinated with the billing department to ensure correct insurance information is applied to claims.
- Updated patient accounts with insurance verification information to ensure accurate billing.
Education
Diploma - Medical Administration
Tennessee Technology Center
Surgoinsville, TN11-2002
Skills
- Precertification requirements
- Authorizations
- Prior authorization process
- HIPAA compliance
- Medical terminology
- Effective communication skills
- Medical appeals handling
- Electronic health records proficiency
- Physician order verification
- Knowledgeable in Brightree
- Data entry
References
References available upon request.
Timeline
Respiratory Intake Specialist
Aveanna Healthcare Medical Solutions
07.2024 - Current
Intake Coordinator
Medical Services of America
09.2019 - 02.2024
Manufacturing Associate
Hutchinson Sealing Systems
02.2017 - 09.2019
Intake Coordinator
Medical Services of America
02.2016 - 12.2016
Diploma - Medical Administration
Tennessee Technology Center
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