Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Misty Beshoner

Fort Smith,Arkansas

Summary

Dedicated and focused individual who excels at prioritizing, and completing multiple task simultaneously and following through to achieve project goals. Seeking a role of increased responsibilities and authority.

Overview

12
12
years of professional experience
1
1
Certification

Work History

Center Manager

Baptist Health Urgent Care
05.2021 - Current

• Welcome all patients and visitors by greeting them in person, answer inquires and direct them through the registration process.
• Answer multi-line phones, filing, faxing, scanning documentation and completing daily patient callbacks.
• Check in and discharge patients, assist clinical staff and close the office at the end of each shift.
• Collect all insurance information, verify patient demographics, process payments, post patient balances and complete phone sheets.
• Maintain a neat and clean work environment and professional appearance.
• Adhere to all relevant health and safety procedures.

  • Oversaw the recruitment, hiring, and onboarding processes to ensure a skilled workforce capable of meeting center objectives.
  • Managed daily operations for optimal efficiency, resulting in improved revenue generation and higher customer retention rates.
  • Successfully resolved client concerns by actively listening to their needs and proposing viable solutions that met their expectations.

Accounts Receivable Specialist

Ensemble Health Partners
06.2020 - 05.2021
  • Responsible for following up directly with commercial and governmental payers to resolve claim issues and secure appropriate and timely reimbursements.
  • Identify and analyze denials and payment variances and take action to resolve accounts including drafting and submitting technical appeals.
  • Examine denied and underpaid claims to determine reason for discrepancies.
  • Work closely with management to identify, trend and address root cause of issue in the A/R


KC Apparel Sales Lead

Dick's Sporting Goods
03.2017 - 06.2020
  • Ensures safe, timely and accurate performance of all apparel processing activities, including merchandise, preparation, and staging.
  • Performed daily backroom activities, including maintenance of stockrooms and assisting with coaching and training of apparel associates and handling nightly cash deposits and daily opening and closing of the store.
  • Performed daily assistance with cashier duties.

Prior Authorization Specialist Team Lead

Shared Services Center
11.2013 - 03.2017
  • Overseen all Standard Operation Procedures (SOP), which are being written of outpatient authorization processes.
  • Ran reports for all facility denials to capture if pre-certification are obtained for all outpatient and/or surgeries.
  • Ensured all account activity is documented in the company system timely and thoroughly.
  • Provided hands-on training for all department hires and assist new hire through 90 day probation periods.
  • Ability to perform all other duties as assigned or requested by my manager.

Centralized Benefits and Authorization Specialist

Shared Services Center
02.2012 - 11.2013
  • Properly verified patient benefits, prior to pre-registering them for future appointments and/or surgeries.
  • Answered calls from physician offices, hospitals and patients using exemplary customer service skills.
  • Reviewed structured clinical date matching it against specified medical terms and diagnosis or procedure codes to follow established procedure for authorization request or referring request for further review.
  • Call back providers with pre-certification numbers as needed and file completed pre-certification request as per established procedures.
  • Maintained patient confidentiality as defined by state, federal and company regulations.

Education

High School Diploma -

Cameron High School
Cameron, OK
05.2009

Skills

  • Claim Processing
  • Account Receivable
  • Medical Terminology
  • Microsoft Office proficiency
  • Excel Spreadsheets
  • Authorization Verification
  • Insurance Verification
  • Strong Problem Solver
  • Professional and mature
  • Resourceful
  • Staff Leadership

Certification

  • NIOSH PFT

Timeline

Center Manager

Baptist Health Urgent Care
05.2021 - Current

Accounts Receivable Specialist

Ensemble Health Partners
06.2020 - 05.2021

KC Apparel Sales Lead

Dick's Sporting Goods
03.2017 - 06.2020

Prior Authorization Specialist Team Lead

Shared Services Center
11.2013 - 03.2017

Centralized Benefits and Authorization Specialist

Shared Services Center
02.2012 - 11.2013

High School Diploma -

Cameron High School
  • NIOSH PFT
Misty Beshoner