Petunia Morgan
Lewisville,TX
Summary
Top-notch professional with extensive experience in job analysis and job evaluation. Collaborative and committed to staying updated on best practices. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
9
9
years of professional experience
Work History
Snr Authorization Benefit Specialist & Trainer
Organization
Dallas, TX
06.2019 - Current
- Developed and maintain Training Materials for new hires.
- Train new hires regarding prior authorization and benefit verifications.
- Credential new providers for all Clinic locations.
- Train eligible current employees on Credentialing.
- Fill out authorization request forms.
- Calculate ABA therapy hours and units per session
- Send authorization request forms to Payers.
- Upload authorization request to Jira and the drive.
- Call to verify authorization request was received and check the status.
- Enter authorization approval into Jira and Central Reach.
- Upload authorization approval letters to Jira and the drive.
- Responsible for submitting Amendments /Modifications,Discharge, Appeal, Single Case Agreement, Transition of Care to the Payors.
- Call insurances when our authorizations are not approved as requested and resolve the issues.
- Conduct Monthly insurance eligibility checks.
- Conduct Insurance benefit checks for new patients, current patients with new insurance.
Insurance Verification Specialist
Dallas, TX
01.2014 - 02.2019
- Verified Medicare Part A & D insurance, Medicaid and commercial insurance
- Made outbound phone calls to PBM’s to verify insurance
- Research via internet and multiple databases to perform Insurance verification
- Responsible for Performing Quality Audits by monitoring phone calls on agents to ensure Quality and content accuracy
- Document contact quality results in standard scoring forms and provide feedback to agents and Supervisors
- Assist contact center staff, including agents, supervisors, and trainers, to understand program content
Education
Associate of Science - Architecture
Dallas College
Dallas, TX05.2024
Skills
- Autodesk Revit
- Sketchup
- Hand drafting
- Hand Sketching
- Create 3D Modes, renderings and video animations
- Team Work
- Perseverance
- Creativity and Problem Solving
- Microsoft Office
- Presentation and Public Speaking
Hobbies
- Sketching
- Travel
Timeline
Snr Authorization Benefit Specialist & Trainer
Organization
06.2019 - Current
Insurance Verification Specialist
01.2014 - 02.2019
Associate of Science - Architecture
Dallas College