Rebecca Frederick
Ocala,FL
Summary
Dedicated and skilled healthcare professional seeking a healthcare position that leverages leadership skills, relationship-building ability, and extensive experience to support superior patient care and personal skill growth.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Authorization Specialist
Orlando Health
Orlando (REMOTE), FL
08.2020 - Current
- Maintained accurate records of patient information for claims and prior authorizations.
- Conducted analysis on medical records and supporting documents to ascertain the approvals of authorization requests.
- Ensured compliance with payer guidelines by offering prior authorization support to physicians, healthcare providers, and patients.
- Assessed service requests in compliance with approval standards.
- Obtained prior authorization for testing and procedures by reaching out to insurance carriers.
- Conducted analysis of appeals for prior authorization requests, effectively resolving issues by engaging with payers.
- Achieved resolution of denied claims by conducting thorough research and directly contacting insurance companies.
Financial Counselor III
Orlando Health
Orlando
01.2019 - 08.2020
- Equipped newly hired team members with the knowledge and skills required for standard work and operational workflows
- Documented authorization and benefit information in the EMR system
- Demonstrated proficiency in explaining insurance benefits, efficiently collecting patient payments, and screening eligible candidates for alternative financial assistance programs
- Collaborated with ED clinical team to complete patient accounts before discharge
- Efficiently resolved patient billing issues and questions.
Patient Service Representative II
Baystate Hospital
Springfield
10.2015 - 10.2018
- Scheduled various types of appointments including new, follow-up, and walk-in appointments.
- Aided in the verification of insurance and established connections between patients and resources for financial counseling
- Efficiently processed patient account balances
- Created a welcoming environment by greeting and engaging with patients
- Responded promptly to all incoming calls during designated practice hours.
Education
High School Diploma -
Eastside High School
Paterson, NJ06-2012
Skills
- Strong leadership and team collaboration abilities
- Excellent communication and relationship-building skills
- Proficient in medical policy guidelines and authorization processes
- Detail-oriented with exceptional organizational skills
- Adaptable and able to prioritize tasks effectively
- Proficiency in Micosoft word, Excel and Windows
- Knowledgeable in EPIC
- Medical terminology expertise
Certification
Certified Revenue Cycle Representative
Accomplishments
- Award in Support Services for Foster innovation and change at Orlando Health
Languages
Spanish
Native/ Bilingual
Timeline
Authorization Specialist
Orlando Health
08.2020 - Current
Financial Counselor III
Orlando Health
01.2019 - 08.2020
Patient Service Representative II
Baystate Hospital
10.2015 - 10.2018
High School Diploma -
Eastside High School
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