Monica Chaney
Little Rock,MS
Summary
Results-driven Intake/PA Specialist with strong attention to detail and a desire to help transform business operations while keeping in mind that a patient is relying on the team to do the job as quickly and efficiently as possible. Productive and diligent with a passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
16
16
years of professional experience
Work History
Professional Hairstylist
Self
Little Rock, MS
08.2008 - Current
- Suggested treatments and styles to suit customer appearance and fashion choices.
- Recorded notes for future reference about customer preferences and services delivered.
- Scheduled customer appointments and rearranged individual time slots to meet demand.
- Organized sales area and workstation to showcase products and boost sales.
- Serviced high-profile clients with intricate coloring and highlighting techniques.
- Educated customers on products to maximize benefits.
- Distributed business cards outside of the salon to generate new business.
- Completed in-home services for elderly clients unable to travel to the salon.
- Counted and documented opening and closing cash amounts daily.
Intake/Prior Authorization Specialist
Vital Care Infusion Services
Meridian, MS
11.2020 - Current
- Follow-up on denied prior authorizations to help resolve problems and obtain payments.
- Guided office staff on how to effectively complete prior authorization forms and appeals documentation to achieve positive results.
- Prevented delays and claim denials by correcting information before submission.
- Coordinated with insurance providers to verify customers' policy benefits about claims.
- Delivered timely information to insurance representatives to resolve common and complex issues.
- Verify with patients' insurance providers to ensure that their plan is active and that the patient is eligible for therapy requested by their provider.
- Review medical policies to ensure that patient meets all criteria for authorization, to avoid denial.
- Thoroughly review medical records for each patient to ensure that they meet medical criteria.
- Review payer contracting information to ensure that reimbursements are quoted properly.
- Thoroughly review payer contracting information to ensure that the pharmacy is contracted with a specific insurance provider etc...
- Developed rapport with clients and vendors to cultivate loyalty and satisfaction.
Education
High School Diploma -
Newton County High School
Decatur, MS05.2005
Licensed Cosmetologist - Cosmetology
East Central Community College
Decatur, MS08.2008
Instructor of Cosmetology -
Mississippi Institute of Aesthetics Nails & Cosmetology
Clinton, MS06.2015
Skills
- Reading Comprehension
- Adding, Calculating plan reimbursements/patient responsibility
- Determine Medical Necessity for specialty drugs prior to authorizations
- Diagnostic Codes
- Discrepancy Resolution
- Fee and Charge Computation
- Error Revision
- Reviewing Patient Information
- Reimbursement Management
- Information Updates
- Procedural Codes
- Correcting Submissions
- Healthcare Terminology
- Dispute Negotiation
- Spreadsheet Tracking
- Word Processing
Timeline
Intake/Prior Authorization Specialist
Vital Care Infusion Services
11.2020 - Current
Professional Hairstylist
Self
08.2008 - Current
High School Diploma -
Newton County High School
Licensed Cosmetologist - Cosmetology
East Central Community College
Instructor of Cosmetology -
Mississippi Institute of Aesthetics Nails & Cosmetology