Nancy Coleman
CVS Healthcare
Irving
21
years of professional experience
Secure a responsible career with a reputable company to fully utilize my training and skills. I am also making a significant contribution to the success of the company.
Work History
Prior Authorization Representative
2 Years 10 Months- Reviewed prior authorization requests to ensure compliance with policies and procedures.
- Collaborated with healthcare providers to gather necessary documentation for authorization approvals.
- Trained new staff on processes and systems for efficient workflow management.
- Analyzed authorization data to identify trends and improve response times.
Benefit Verification Specialist
4 Months- Verify insurance benefits for coverage patient and clinic. Assured timely verification of insurance benefits from Medicare A & B, Medicaid, private and VA insurance. Obtained and maintained knowledge of third-party billing, coding, medical terminology, prior authorizations and appeals.
Insurance Verification Specialist
4 Months- Responsible for verifying and recording up-to-date health insurance benefits for patients in EMR software. Obtaining pre-authorization for specific IC10 and IC9. Researches and rebills unpaid claims in a timely manner. Expediting the proper adjudication of insurance claims. Maintain compliance of regulations confidential & HIPPA polices.
Customer Specialist
1 Year- Responsible for answering customers’ calls and emails. Maintain knowledge about the company products. Take payments and process credit applications.
Data Acquisition Specialist
6 Years 4 Months- Process mortgage tax amount reporting for all states in a timely manner. Review, research and resolve issues related to property taxes, including problems with tax collectors and title companies. Run and review reports to identify and resolve issues with missing legal descriptions, discrepancies, lien changes or duplicate tax IDs.
Enrollment Specialist
4 Months- Verification of insurance benefit and preauthorization for patient ICD-10 & ICD-9 diagnosis code. Navigate between computer screens and platforms to research medical, clinical and benefits information. Maintain compliance of HIPPA regulations policies and procedures.
Eviction Specialist
9 Years 1 Month- Perform daily task reports to ensure assets are current within the eviction process, while monitoring aged inventory, cash for keys initiative and property preservation is complete. Verify regulations.
Education
High School Diploma
Skills
Excel proficiency
Microsoft Outlook
Windows
AS400
Salesforce
Insurance Company
Medicare
Billing Information
Communication Skills
Detail Oriented
Documentation
Contact
- 814 W Royal Lane #152
- Irving, Texas 75039
- 214-690-4800
- Ncoleman71856@gmail.com
Timeline
Prior Authorization Representative
CVS Healthcare
10.2023 - CurrentRead More
Benefit Verification Specialist
CareMetx
05.2023 - 09.2023Read More
Insurance Verification Specialist
McKesson
09.2022 - 01.2023Read More
Customer Specialist
Empire
10.2021 - 10.2022Read More
Data Acquisition Specialist
CoreLogic
05.2015 - 09.2021Read More
Enrollment Specialist
Dialog Direct
09.2014 - 01.2015Read More
Eviction Specialist
Bank of America
03.2005 - 04.2014Read More
Carroll High School
High School Diploma
Read More