Overview
Work History
Education
Skills
Timeline
Generic

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, AL

High School Diploma -

Butler High School
Huntsville, AL
05.1983

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

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Aurora Love