Aurora Love
Huntsville,AL
Overview
10
10
years of professional experience
Work History
Certification Specialist
Heart Center(THC)
11.2022 - Current
- Began precertification processes by implementing efficient tracking systems and prioritizing urgent cases.
- Conducted thorough follow-ups with insurance companies, ensuring timely receipt of authorization numbers for approved
- Resolved discrepancies with client applications to verify eligibility.
- Increased accuracy of submitted claims through meticulous attention to detail in verifying insurance eligibility and benefits
- Minimized claim denials by accurately coding procedures according to CPT guidelines before submission for approval.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
Precertification Specialist
Southern Cancer Center
01.2017 - 06.2022
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Processed medical insurance claims and payments.
- Prepared and processed patient referrals and transfer requests.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Processed and certified documents for accuracy and compliance
- Analyzed trends in denials or authorization delays to identify opportunities for improvement within the precertification department.
Billing Specialist
Digestive Diseases Center
08.2014 - 01.2017
- Researched and resolved billing discrepancies to enable accurate billing.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maximized revenue potential by identifying and resolving under-billed accounts.
- Monitored customer accounts to identify and rectify billing issues.
- Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
- Maintained detailed records of each account''s payment history, providing easy access to information for audit and analysis purposes.
Education
Some College (No Degree) - Computer Programming
J.F. Drake State Community And Technical College
Huntsville, ALHigh School Diploma -
Butler High School
Huntsville, AL05.1983
Skills
- Data Entry
- Insurance/Referral Verification
- Proficient in Medical Billing/ Medical Terminology
- Electronic Recordkeeping
- Document Review
- Proficient in Insurance Verification
- Computer Proficiency in Word, excel, and Powerpoint
Timeline
Certification Specialist
Heart Center(THC)
11.2022 - Current
Precertification Specialist
Southern Cancer Center
01.2017 - 06.2022
Billing Specialist
Digestive Diseases Center
08.2014 - 01.2017
Some College (No Degree) - Computer Programming
J.F. Drake State Community And Technical College
High School Diploma -
Butler High School