Paige Eason
Florence,TX
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Adept at delivering process improvements that increase efficiencies and performance. Organized and articulate with excellent troubleshooting abilities. Motivated trainer eager to help new hires advance in knowledge and abilities to meet career goals. Engaging and hands-on instructor with more than three years of related experience and superior planning and time management abilities.
Overview
4
4
years of professional experience
Work History
Referral Specialist I
Superior HealthPlan
07.2020 - Current
- Member and Provider Eligibility Verification
- Employee schedule exceptions
- Receive, review, and initiate Prior Authorization requests per Medicaid Prior authorization guidelines.
- Trained 100% of new hire staff.
- Produced training documents and videos in compliance with State regulations and company policy.
- Processed medical insurance claims and appeals.
- Conducted interviews
- Handled customer complaints, resolved issues, and adjusted policies to meet changing needs.
- Monitored workflow to improve employee time management and increase productivity via time studies and reporting volume, monthly errors and production.
- Coordinate with clinical team, third party vendors and Providers to resolve conflict and cultivate positive relationships.
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Developed and updated tracking spreadsheets for process monitoring and reporting.
Medical Billing/Data Entry Clerk
Epiphany Dermatology
02.2020 - 03.2020
- Post payments, collections, and claims resolution to resolve and prevent delays in patient services
- Performed front desk receptionist duties and call intake and triage as assigned
- Scheduled patient appointments.
- Updated and maintained customer information, documents, and records.
- Followed data entry protocols, rules, and regulations.
- Scanned documents and saved them in database to keep records of essential organizational information.
- Checked for accuracy by verifying data and records.
Education
Master of Science - Management
Abilene Christian University
Abilene, TX08.2025
Bachelor of Business Administration - Healthcare Administration
Concordia University Texas At Austin
Austin, TX04.2021
Skills
- Six Sigma Methodologies
- Medical Billing and Collections
- Performance Metrics Evaluation
- Claim Processing
- Problem Resolution
- Error Revision
- ICD-10 (International Classification of Disease Systems)
- Resolving Complaints
- Continuous Improvement Projects
- Training and Development
- Report Automation
- Advanced Excel Spreadsheet Functions
Timeline
Referral Specialist I
Superior HealthPlan
07.2020 - Current
Medical Billing/Data Entry Clerk
Epiphany Dermatology
02.2020 - 03.2020
Master of Science - Management
Abilene Christian University
Bachelor of Business Administration - Healthcare Administration
Concordia University Texas At Austin
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