Natesha Bibbens
Fredericksburg,VA
Summary
Highly skilled in coordinating medical schedules, front desk management, answering phones, and recordkeeping. Equipped to handle fast-paced office operations with continuous flow of patients and assignments. Proven ability to handle personal patient information according to HIPPA regulations. Detail oriented with profound ability to work independently. Excellent communication and interpersonal skills. Working knowledge of medical terminology.
Overview
8
8
years of professional experience
Work History
Prior Authorization Specialist
Mary Washington Orthopedics
05.2023 - Current
- Reach out to insurance carriers to obtain prior authorization for testing and procedures.
- Verify eligibility and compliance with authorization requirements for service providers.
- Respond to inquiries from healthcare providers regarding prior authorization requests.
- Complete referrals and prior authorizations according to department guidelines and workflows.
- Review appeals for prior authorization requests and communicate with payers to resolve issues.
- Research denied claims and contact insurance companies to resolve these issues.
- Field telephone inquiries on authorization details from plan members and medical staff.
- Track referral submission during facilitation of prior authorization issuance.
Medical Receptionist
Women’s Health And Surgery Center
10.2022 - 03.2023
- Answered incoming calls for multiple locations and providers.
- Collected patient demographics and entered into system.
- Processed co-payments for office visits.
- Scheduled and confirmed medical appointments.
- Notified patients of account balances due prior to next appointment.
- Scanned patient records into chart as needed.
Customer Service Representative
Best Buy
09.2021 - 12.2022
- Answered inbound calls for new and existing customers to identify their needs and resolve issues.
- Researched, modified, rescheduled, and canceled orders.
- Searched inventory to determine product availability.
- Transferred misdirected calls to appropriate department.
- Responded to customer requests for products, services, and company information.
Mail Imaging Clerk
GEICO
10.2018 - 01.2021
- Sorted and prepared incoming claim and policy mail for imaging.
- Electronically assigned claim data for documents received via fax.
- Manually pulled documents that had been prepped incorrectly.
- Scanned return mail using handheld electronic scanner.
- Completed paperwork, recognizing discrepancies and promptly addressing for resolution.
Scheduler/Billing Specialist
Advanced Spine And Pain
10.2016 - 12.2017
- Answered incoming calls for multiple locations and providers.
- Collected patient demographics and entered into system.
- Scheduled and confirmed medical appointments.
- Scanned patient records and attached to patient’s chart.
- Notified patients of account balances due prior to next appointment.
- Processed and mailed claim forms to insurance companies for workers compensation patients.
- Processed workers compensation payments to patient accounts.
Scheduling Coordinator
Comfort Keepers
08.2015 - 10.2016
- Created, maintained, and released schedules for caregivers for new and current clients.
- Performed basic clerical and administrative office tasks.
- Answered and routed calls.
- Assisted with payroll, billing, and financial reporting.
- Scheduled caregivers to assist hospital patients.
Education
Bachelor's Degree - Business Administration For Healthcare Management
Liberty University
Lynchburg, VA05.2015
Skills
- Front Desk Operations
- Medical Records Management
- EMR Systems
- Referral Verification
- Insurance Verification
- Office Coordination
- Electronic Health Records
- ICD-9
- ICD-10
- CPT Coding
- Patient Scheduling
- Filing
Timeline
Prior Authorization Specialist
Mary Washington Orthopedics
05.2023 - Current
Medical Receptionist
Women’s Health And Surgery Center
10.2022 - 03.2023
Customer Service Representative
Best Buy
09.2021 - 12.2022
Mail Imaging Clerk
GEICO
10.2018 - 01.2021
Scheduler/Billing Specialist
Advanced Spine And Pain
10.2016 - 12.2017
Scheduling Coordinator
Comfort Keepers
08.2015 - 10.2016
Bachelor's Degree - Business Administration For Healthcare Management
Liberty University
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