Priscilla Grover
McKinney,TX
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Revenue Recovery Specialist
KNOWTION Health
10.2023 - Current
- Improved revenue recovery rates by identifying and resolving billing discrepancies in a timely manner.
- Maintained detailed records of all collection activities, ensuring accurate reporting and compliance with industry regulations.
- Kept case data and contact information up to date to expedite proceedings.
Insurance Verification Specialist
Continuum Global Solutions
09.2021 - 07.2023
- Processed medical insurance claims and payments.
- Obtained payments from patients and scanned identification and insurance cards.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Trained new staff on current, correct insurance verification procedures.
- Updated patient records with accurate, current insurance policy information.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Supported timely claims processing by submitting accurate and complete documentation to insurance companies.
CNA - Certified Nursing Assistant
Brookdale Senior Living
09.2010 - 06.2021
- Provided preventative care to residents to manage skin-related conditions such as pressure ulcers
- Built long-lasting professional relationships with residents, family members, and team members
- Monitored patient stability by checking vital signs and weight, and recording intake information
- Administered therapeutic treatments, non-sterile dressings, ice packs and baths
Education
TRADE SCHOOL - CLAIMS ADJUSTER
THE ADJUSTER SCHOOL
03.2019
High school diploma -
Mckinney High School
06.2004
Skills
- Medical Billing
- Insurance Verification
- ICD-10
- Medical Terminology
- Medical Office Experience
- Customer service (10 years)
- Computer skills (10 years)
- Microsoft Excel
- Microsoft Word
- Microsoft Office
- Medical Records
- ICD Coding
Certification
Certified Nursing Assistant (CNA)
Personal Information
- Relocation: Anywhere
Timeline
Revenue Recovery Specialist
KNOWTION Health
10.2023 - Current
Insurance Verification Specialist
Continuum Global Solutions
09.2021 - 07.2023
CNA - Certified Nursing Assistant
Brookdale Senior Living
09.2010 - 06.2021
TRADE SCHOOL - CLAIMS ADJUSTER
THE ADJUSTER SCHOOL
High school diploma -
Mckinney High School
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