Summary
Overview
Work History
Education
Skills
Timeline
Generic

Montana HORTON

Charlotte,NC

Summary

Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability and exceptional interpersonal skills. Quickly mastering new skills and a hardworking employee with customer service, multitasking and time management abilities.

Overview

8
8
years of professional experience

Work History

Patient Service Specialist /Prior Authorization Coordinator

Atrium Healthcare
, NC
05.2021 - Current
  • Answered incoming calls and responded to inquiries in a timely manner.
  • Completed relevant insurance and other claim forms.
  • Ordered and maintained supply inventory for medical office.
  • Scheduled tests, lab work or x-rays for patients based on physician orders.
  • Greeted patients, determined purpose of visit and directed to appropriate staff.
  • Scheduled and confirmed patient appointments and consultations.
  • Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions.
  • Contacted insurance companies to obtain necessary preauthorizations needed for upcoming tests and procedures.
  • Notified ordering providers of denied authorizations.
  • Communicated effectively both verbally and in writing with various levels of staff across the organization.
  • Assisted with appeals process when necessary.
  • Provided general customer service support by answering questions about services provided by the practice.
  • Performed administrative tasks such as filing, faxing documents, copying materials, and other clerical duties as needed.

Preschool Teacher/Co-Administrator

Tiny Treasures Child Development Center
Charlotte, NC
02.2016 - 04.2021
  • Organized educational materials and resources to create an engaging learning environment.
  • Assisted in providing a safe and secure environment for children.
  • Developed lesson plans that incorporated creative teaching techniques.
  • Maintained records of attendance, grades, health concerns, and other relevant information about the children in my care.
  • Encouraged critical thinking skills through problem solving activities.
  • Collaborated with fellow teachers on various projects related to curriculum design and implementation.
  • Attended professional development workshops to stay current on best practices for early childhood education.
  • Developed professional relationships with parents, teachers, directors and therapists.
  • Assessed company operations for compliance with safety standards.
  • Displayed strong telephone etiquette, effectively handling difficult calls.
  • Maintained positive working relationship with fellow staff and management.
  • Created documents such as memos, letters and emails for communication purposes.
  • Managed day-to-day operations of the office including ordering supplies, maintaining records, responding to queries.

Education

Associate of Arts - Interdisciplinary Studies

Liberty University
Lynchburg, VA
12-2015

Interdisciplinary Studies

University of North Carolina At Pembroke
Pembroke, NC
08-2010

High School Diploma -

West Mecklenburg High School
Charlotte, NC
06-2010

Skills

  • Insurance Verification
  • Appointment Scheduling
  • Professionalism and Ethics
  • Healthcare Systems Knowledge
  • Insurance company knowledgeable
  • Training Coordination
  • Scheduling Diagnostic Procedures
  • Registration and Admissions
  • Referral Coordination
  • Administrative and Office Support

Timeline

Patient Service Specialist /Prior Authorization Coordinator

Atrium Healthcare
05.2021 - Current

Preschool Teacher/Co-Administrator

Tiny Treasures Child Development Center
02.2016 - 04.2021

Associate of Arts - Interdisciplinary Studies

Liberty University

Interdisciplinary Studies

University of North Carolina At Pembroke

High School Diploma -

West Mecklenburg High School
Montana HORTON