Samantha C. Howard
Russellville,AR
Summary
Proactive Precertification Specialist with extensive experience in patient access and claims processing. Boosted team efficiency and minimized claim denials through accurate coding and regular training on insurance policies. Strong communication skills, HIPAA compliance, and adept at handling sensitive patient information and providing excellent customer service.
Overview
9
9
years of professional experience
Work History
Precertification Specialist
Conway Regional Medical Center
12.2023 - Current
- Boosted efficiency within the team by regularly updating coworkers on changes in insurance policies or procedural requirements affecting precertifications.
- Mentored new hires within the department, sharing best practices for navigating complex insurance requirements and fostering a supportive team environment.
- Improved team productivity with regular training sessions on new software programs and tools utilized in the precertification process.
- Minimized claim denials by accurately coding procedures according to CPT guidelines before submission for approval.
Patient Access Rep ED I
Conway Regional Medical Center
09.2021 - Current
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
Direct Support Professional
Friendship Community Care
02.2023 - 10.2023
- Maintained clean, safe, and well-organized patient environment.
- Documented progress notes thoroughly to track client achievements, concerns, or changes in behavior patterns that may need attention from the interdisciplinary team.
- Assisted clients with daily living needs to maintain self-esteem and general wellness.
- Assisted with crisis intervention to de-escalate challenging behavior and maintain peaceful encounters.
Special Needs Bus Aide
Russellville School District
01.2020 - 08.2023
- Supervised students and maintained discipline on bus to reduce driver distraction.
- Liaised with bus driver to conduct emergency evacuation drills.
- Lifted and moved students to optimize comfort.
- Communicated with bus driver to meet students' medical, physical and behavioral needs during transport.
Claims Processing Clerk
Republic Indemnity Workers' Compensation Insurance
04.2015 - 03.2019
- Actively participated in team meetings and training sessions, contributing valuable insights and staying current on best practices in the industry.
- Improved customer satisfaction scores by providing prompt and accurate information regarding claim status.
- Maintained up-to-date knowledge of industry regulations, ensuring compliance in all aspects of claims processing.
- Developed strong working relationships with insurance adjusters to ensure seamless coordination during claim investigations.
Education
High School Diploma -
Hillsdale High School
San Mateo, CA06.1983
Skills
- Outlook
- MS Office
- Typing 60 WPM
- Internet
- Prior Authorization Knowledge
- Strong Communication Skills
- HIPAA compliance awareness
- Patient Confidentiality Adherence
Timeline
Precertification Specialist
Conway Regional Medical Center
12.2023 - Current
Direct Support Professional
Friendship Community Care
02.2023 - 10.2023
Patient Access Rep ED I
Conway Regional Medical Center
09.2021 - Current
Special Needs Bus Aide
Russellville School District
01.2020 - 08.2023
Claims Processing Clerk
Republic Indemnity Workers' Compensation Insurance
04.2015 - 03.2019
High School Diploma -
Hillsdale High School
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