Michelle Powell
Hewitt,TX
Overview
1
1
Certification
26
26
years of professional experience
Work History
Insurance Specialist
Waco Cardiology Associates
05.2024 - Current
- Coordinated communication between patients, providers, and insurance companies to resolve billing inquiries.
- Reviewed patient insurance information for accuracy, facilitating seamless service delivery
- Processed eligibility and benefits verification and authorization requests.
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Maintained confidentiality of patient finances, records, and health statuses.
- Expedited insurance claims processing by obtaining prior authorizations for treatments or medications prescribed by the physician team.
- Demonstrated strong attention to detail when completing insurance forms and obtaining necessary authorizations for treatments or surgeries.
A/R Coordinator
Provider Business Partners
10.2023 - 05.2024
- Resolve customer complaints and answer customers questions
- Research claim denials, identify causes and resolve to promote prompt insurance payment
- Complete daily accounts receivable ledger reconciliations
- Accept and process customer payments and apply toward account balance
- Review account information to confirm patient and insurance information is accurate and complete
- Submit appeals using provider portals and phone communication
- Contact insurance providers to verify insurance information and obtain billing authorization
- Apply HIPPA privacy and security regulations while handling patient information
- Monitor reimbursement from managed care networks and insurance carriers to verify consistency with contract rates
- Communicate with insurance representatives to complete claims processing or resolve problem claims
- Reviewed claims for coding accuracy
- Completed and submitted appeals for denied claims.
A/R Specialist
Waco Gastroenterology Associates
03.2023 - 10.2023
- Collected payments from patients for their procedures.
- Contacted insurance companies to verify patient benefits
- Followed up on denied or partially paid claims with insurance companies
- Submitted claim disputes with insurance companies
- Obtained referrals and prior authorizations on procedures and patient appointments
- Updated patient insurance information.
A/R Coordinator
Provider Business Partners
02.2022 - 03.2023
- Resolve customer complaints and answer customers questions
- Researched claim denials, identified causes and resolved to promote prompt insurance payment
- Completed daily accounts receivable ledger reconciliations
- Accepted and processed customer payments and applied toward account balance
- Input details into accounts and tracked payments
- Reviewed account information to confirm patient and insurance information is accurate and complete
- Submitted appeals using provider portals and phone communication
- Contacted insurance providers to verify insurance information and obtain billing authorization
- Applied HIPPA privacy and security regulations while handling patient information
- Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates
- Communicated with insurance representatives to complete claims processing or resolve problem claims
- Reviewed claims for coding accuracy
- Completed and submitted appeals for denied claims.
Front Desk Receptionist
Goodall Witcher Hospital Authority
02.2020 - 02.2022
- Answered multiline phones, scheduled patient appointments over the phone and in the office
- Patient checkin and check out
- Verified and updated patient demographic information
- Verified and updated patient insurance information
- Scanning documents into patients electronic records
- Assisting patients with new patient paperwork
- Obtaining patient records from other offices
- Collecting patient copay's and balances due
- Posting payments to patient accounts.
Lot Manager
Barron's Auto Enterprise, Inc
08.2017 - 03.2018
- Answered phones, filed, collected and posted payments to customer accounts
- Verified auto insurance policies for existing customers
- Assisted with car sales and maintained new and existing customer accounts
- Oversaw a team of 4-5 people in the office at any given time terminology and dicta
- AP/AR; payroll, inventory
Medical Office Assistant
Texas Spine & Neurosurgery
04.2016 - 03.2017
- Managed front office activities to optimize facility workflow and patient management, and provided comprehensive administrative support, including appointment management, billing and collections, office administration and customer service
- Created and maintained confidential patient files; implemented and mastered EMR and EHR systems to automate patient records
- Communicated with insurance companies to verify patient coverage and get authorization for special testing or referrals
- Assisted the doctor with weekly off site clinic hours at various locations in Texas by performing office duties as well as obtaining patient vital signs, height and weight information and accompanying patients to examination rooms.
Medical Assistant
Family Medicine Clinic
04.2012 - 03.2016
- Provided comprehensive administrative support, which included managing patient appointments, collecting and verifying insurance information, scheduling laboratory tests and general office administration duties
- Created and maintained confidential patient files and documentation; implemented and mastered EMR systems to automate patient records management.
Supervisor
Lake Whitney Medical Center
01.2001 - 09.2008
- Performed outpatient registration for lab and radiology tests, which included coordinating scheduling and providing information to necessary hospital departments
- Created and maintained confidential patient files and documentation
- Provided comprehensive outpatient support such as managing registration and appointments, and collecting and verifying insurance information
- Oversaw department employees in their daily duties and provided guidance when needed.
Education
High school or equivalent -
Austin Community College District
TXSkills
- Customer Service
- Microsoft Office
- Microsoft Word
- EMR Systems
- Patient Care
- Administrative Experience
- Typing
- Data Entry
- Phone Etiquette
- Computer Skills
- Cash Handling
- Multi-Line Phone System
- Insurance Verification
- Computer Operation
- HIPAA
- Microsoft Outlook
- Medical Office Experience
- Vital Signs
- Medical Scheduling
- Hospital Experience
- Medical Records
- Medical Billing
- ICD-10
- Medical receptionist
- Writing skills
- Analysis skills
- Documentation review
- Accounts receivable
- Medical terminology
- Organizational skills
- CPT coding
- Communication skills
- Attention to detail
- Patient confidentiality
- HIPAA compliance
- Insurance coverage verification
Certification
- BLS Certification
- CPR Certification
- Driver's License
Timeline
Insurance Specialist
Waco Cardiology Associates
05.2024 - Current
A/R Coordinator
Provider Business Partners
10.2023 - 05.2024
A/R Specialist
Waco Gastroenterology Associates
03.2023 - 10.2023
A/R Coordinator
Provider Business Partners
02.2022 - 03.2023
Front Desk Receptionist
Goodall Witcher Hospital Authority
02.2020 - 02.2022
Lot Manager
Barron's Auto Enterprise, Inc
08.2017 - 03.2018
Medical Office Assistant
Texas Spine & Neurosurgery
04.2016 - 03.2017
Medical Assistant
Family Medicine Clinic
04.2012 - 03.2016
Supervisor
Lake Whitney Medical Center
01.2001 - 09.2008
High school or equivalent -
Austin Community College District