RAQUEL A. MOWATT-McLEAN
PORT ST LUCIE,FL
Summary
Seeking a position as an Insurance Verification Authorization Representative in an atmosphere where I can utilize my organizational abilities, communication skills, compassion for patients, desire to make a difference.
Overview
25
25
years of professional experience
Work History
Medical Office Specialist
HCA Florida Physicians Group
12.2022 - Current
- Verification, pre-certification, eligibility, benefits including copays, deductibles and out of pocket expenses.
- May be required to flag accounts for high dollar financial clearance. Identifies and utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.
- Maintains productivity and quality expectations set forth by department.
- Identifies and utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.
- Communicates with physician offices to obtain clinical information and/or coordinate peer-to-peer conversations.
- Identifies and utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.
- Other duties as assigned
Authorization Representative II
Cleveland Clinic
09.2017 - 12.2022
- Verification, pre-certification, eligibility, benefits including copays, deductibles and out of pocket expenses.
- May be required to flag accounts for high dollar financial clearance. Identifies and utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.
- Maintains productivity and quality expectations set forth by department.
- Performs some registration input in order to ensure accurate patient information for the authorization process.
- Identifies and utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.
- Communicates with physician offices to obtain clinical information and/or coordinate peer-to-peer conversations.
- Identifies and utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.
Patient Access Representative
Bascom Palmer Eye Institute
10.2015 - 09.2017
- Check in and check out patients
- Following HIPPA guidelines
- Collecting copay and past due balances
- Scheduling and rescheduling patient appointments
Patient Care Advocate
Express Scripts
09.2014 - 10.2015
- Taking inbound calls
- Assisting patients with re-ordering of medications
- Assisting patient with insurance information
- Enrolling patient in new insurance
Patient Care Advocate
Liberty Medical Supply
10.2007 - 01.2012
- Taking inbound calls
- Enrolling new consumers for diabetes testing supplies
- Placing and reordering diabetic testing supplies orders for consumers
- Account maintenance for new and current consumers
Patient Care Assistant
Fidelity House Inc
09.2000 - 06.2007
- Assisting physically and mentally challenged individuals in their home with activities of daily living
- Medication administration
Education
Associate of Science - Health Information Management
Ultimate Medical Academy
TAMPA07.2026
Diploma - undefined
Methuen High School
Methuen, MA01.1998
Skills
- Patient scheduling
- HIPAA compliance
- Patient confidentiality
- Claims processing
Timeline
Medical Office Specialist
HCA Florida Physicians Group
12.2022 - Current
Authorization Representative II
Cleveland Clinic
09.2017 - 12.2022
Patient Access Representative
Bascom Palmer Eye Institute
10.2015 - 09.2017
Patient Care Advocate
Express Scripts
09.2014 - 10.2015
Patient Care Advocate
Liberty Medical Supply
10.2007 - 01.2012
Patient Care Assistant
Fidelity House Inc
09.2000 - 06.2007
Diploma - undefined
Methuen High School
Associate of Science - Health Information Management
Ultimate Medical Academy