RACHEL MEYERS
Tomball
Summary
Over 7 years insurance experience with a background in custom rehab, moving through three positions in funding department. . Offering compassionate and organized approach, ready to learn and grow in Funding Supervisor role.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Rehab Support
Reliable Medical
01.2024 - Current
- Performed in top 3 funding Rehab Support throughout 2024
- Maintained above average caseload 165-200
- Completed all levels of funding support for CRT; coding and pricing, insurance verification, authorization submittals, client contact and documentation collection.
- Resolution of any held billing or MIRs
- Detailed training materials created for CCS for replacement support.
Funding Quality Auditor
National Seating & Mobility
07.2023 - 12.2023
- Provides detailed quality review of HCPC coding, eligibility, benefits, coverage determination, documentation, funding packages, approvals, and denials
- Ensure full collectibility from insurance payers
- Collect, analyze, and report on quality related data
- Maintain policy and procedure with organization as well as applicable insurance guidelines
- Provide feedback, identifying trends and proposes solutions for training program improvement
Funding Supervisor
National Seating & Mobility
10.2022 - 07.2023
- Manages transaction cycle time, ensuring process quality and timeliness for funding
- Manages funding specialists, monitoring productivity shifting caseloads and responsibilities as needed
- Coordinates temporary coverage as needed with compassion and quality to cover caseloads
- Support credit exception process to expedite order process when and where appropriate
- Responsible for client focus escalations and conflict resolution, potentially forwarding to appropriate department and level of authority
- Responsible for payroll for direct reports
- Completes any projects, assignments with minimal supervision under the direction of Area Manager and Area Funding Director
- Responsible for research of payer issues and any updates within Texas
Lead Funding Specialist
National Seating & Mobility
12.2021 - 10.2022
- Weekly reporting for past due orders and compliance
- Communication with team relating to objectives and/or areas of focus for funding
- Mentor and MIR focused calls
- Mentored at least three funding specialists during this period while having my own caseload
- Effective communication with branches, ATPs, interdepartmental as well as different levels of leadership
- Maintain NSM and insurance compliance with NSM and Insurance policy and procedure
- Assisted with various projects, one in Northwest region providing coverage assistance as well as UHC Quality Assurance Department providing final review before submission
Funding Specialist
National Seating & Mobility
06.2016 - 12.2021
- Maintained 100% compliance and exemplified funding progress throughout this period
- Effective communication with referral sources and repeat clients by phone and email
- Professional interdepartmental communication at branch and leadership levels
- 3rd party payer eligibility and benefits verification, obtaining clinical documentation, submission and appeals process
- Proficient Medicare knowledge, Texas Medicaid and various MCOS
- Provided support on caseload projects for fellow team members
Education
Medical Insurance Coding -
Houston Community College - Coleman College For Health Sciences
Houston, TX01.2024
Skills
- Verbal and written communication
- Conflict resolution
- Attention to detail
- Team Leadership
- Prior authorization processing
- Patient contact
- Training and mentoring
- Fluent in Spanish
- Problem-solving abilities
Certification
Medical Insurance Coding - CPC 2023, Houston Community College - Coleman College for Health Sciences, Houston, TX, 80%, CPC-A, 02078550, Spring 2024 HITT program, 3.96, 86
Timeline
Rehab Support
Reliable Medical
01.2024 - Current
Funding Quality Auditor
National Seating & Mobility
07.2023 - 12.2023
Funding Supervisor
National Seating & Mobility
10.2022 - 07.2023
Lead Funding Specialist
National Seating & Mobility
12.2021 - 10.2022
Funding Specialist
National Seating & Mobility
06.2016 - 12.2021
Medical Insurance Coding -
Houston Community College - Coleman College For Health Sciences
Medical Insurance Coding - CPC 2023, Houston Community College - Coleman College for Health Sciences, Houston, TX, 80%, CPC-A, 02078550, Spring 2024 HITT program, 3.96, 86
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