Paula Allen
Houston,TX
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
12
12
years of professional experience
Work History
Reimbursement Specialist
Guardant Health
02.2022 - Current
- Offer white glove customer service to patients and clients
- Administrative duties such as faxing, emails, meeting notes etc.
- Researched rejections, investigating problems to appeal claims.
- Maintained confidentiality and integrity of patient data.
- Drafted documents based on payer guidelines and submitted to necessary parties.
- Verified technical reimbursement questions for providers, billing and coding staff.
- Identified opportunities for coverage access to address reimbursement barriers.
- Assisted in developing new processes for more efficient management of reimbursement requests.
- Collaborated with other departments within the organization to coordinate activities related to reimbursements.
- Provided training to new staff on the proper submission process for reimbursement requests.
- Conducted customer outreach activities to build relationships with clients.
Leasing Consultant
Morgan Communities
01.2018 - 01.2019
- Prepared lease agreements, collected security deposits and rent payments from tenants.
- Handled incoming calls regarding availability of units, pricing information and other inquiries.
- Marketed property to prospective tenants by giving tours and pointing out key features.
- Conducted tours of available apartments, highlighting features and amenities.
- Tracked leads using CRM software and followed up with interested parties.
- Used conflict resolution skills to quickly resolve issues among residents.
- Oversaw projects through timely inquiry response, event coordination and on-site support for feature film productions and events.
Prior Auth Rep II
University of Utah Hospitals and clinics
09.2015 - 02.2022
- Work independently in a team setting obtaining radiology/radiation oncology prior authorizations
- Coordinated with other departments to obtain additional information needed for prior authorization.
- Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
- Collaborated with internal staff members to resolve discrepancies or issues related to prior authorizations.
- Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
Financial Representative
Intermountain Healthcare
Salt Lake City, UT
08.2013 - 09.2015
- Financial Assistance rep
- Provided customer service to patients, collecting payments for services rendered by providers, setting up payment plans and helping those patients apply for financial assistance
- Cash collections and revenue cycle.
US BANK
US BANK
07.2012 - 09.2013
- Teller/universal Banker
- Handled cash in branch, deposits, withdrawals, wire transfers and Customer service
- Led branch in credit card sales, marketing of consumer products such as lines of credit and mortgage referrals.
Education
BBA - Business Administration And Management
Western Governors University
Salt Lake City, UT02-2024
Skills
- Bilingual- Spanish
- Customer service skills
- Relationship Building
- Medical insurance terminology
- Microsoft, outlook and excel experience
- Work well with Salesforce, Epic and CRM systems
- Leading and training
- Strategic thinking and innovation
- Interpersonal/ people skills
- Data entry
- Detail oriented
- Process improvement
- Planning and coordinating
- Relationship building
- Sales
- Interpersonal skills
- Multitasking in fast paced environments
- Interpersonal Communication
- Organizational Skills
- Adaptability and Flexibility
- Emotional Awareness
- Teamwork and Collaboration
- Attention to Detail
- Written Communication
- Problem-Solving Aptitude
- Administration and Management
- Effective Communication
Education Certifications
- Certificate of excellence in Leadership Skills., WGU
- Certificate of excellence in strategic thinking and innovation., WGU
Timeline
Reimbursement Specialist
Guardant Health
02.2022 - Current
Leasing Consultant
Morgan Communities
01.2018 - 01.2019
Prior Auth Rep II
University of Utah Hospitals and clinics
09.2015 - 02.2022
Financial Representative
Intermountain Healthcare
08.2013 - 09.2015
US BANK
US BANK
07.2012 - 09.2013
BBA - Business Administration And Management
Western Governors University
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