Paige Braun
Oviedo,FL
Summary
Detail-oriented and adaptable healthcare administration professional with extensive experience in claims processing, scheduling coordination, medical operations, and record management. Proven ability to manage complex schedules, coordinate multi-provider teams and maintain compliance with healthcare regulations.
Overview
21
21
years of professional experience
Work History
Claims Specialist
Central Florida Orthopedic Associates, IPA
04.2019 - Current
- Execute thorough clinical and utilization review of claims to verify accuracy aligned with payer-specific guidelines for proper processing.
- Evaluate claims in accordance with contract specifications and processing standards.
- Ensured compliance with federal, state, and company regulations and policies.
Scheduling Coordinator
Southeastern Clinical Services
01.2012 - 04.2019
- Managed 15 surgical physician assistants across 20 facilities specializing in diverse surgical procedures.
- Manage Supervision Data information alignment with Department of Health to sustain accuracy and currency of credentialing records for all participating facilities.
- Build robust relationships with facilities and surgeon offices, delivering uninterrupted, efficient customer service.
Surgical and Office Coordinator
Vascular Specialists of Central Florida
03.2004 - 01.2012
- Served as primary contact for surgeon, patients, families, and physicians to enhance communication and ensure optimal patient outcomes.
- Cultivated positive relationships with physicians and families to foster collaborative care environments.
- Coordinated comprehensive patient care for tests, procedures, and surgeries while developing future care plans.
- Secured prior authorizations and verified CPT/ICD-10 coding to ensure precise billing.
Education
Associates in Science - Health Administration and Medical Assisting
City College of Ft. Lauderdale
Fort Lauderdale, FL01.1995
Skills
- Leadership and professionalism
- Proficient in Microsoft Office, Epic, Athena Health, Waystar
- Excellent Interpersonal skills
- Multitasking and organizational skills: strong ability to manage calendars, appointments, and meetings
- Adaptability: willingness to learn, and adjust to changing situations, build new relationships, and work effectively as a team player
- Communication: strong written and verbal communication for interacting with colleagues, clients, and superiors
Timeline
Claims Specialist
Central Florida Orthopedic Associates, IPA
04.2019 - Current
Scheduling Coordinator
Southeastern Clinical Services
01.2012 - 04.2019
Surgical and Office Coordinator
Vascular Specialists of Central Florida
03.2004 - 01.2012
Associates in Science - Health Administration and Medical Assisting
City College of Ft. Lauderdale
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