SARAH Walker
Portsmouth,VA
Summary
Dedicated professional seeking a position in a medical environment that leverages strong analytical, communication, and teamwork skills. Proven ability to adapt quickly to new settings while contributing to team success and fostering a collaborative atmosphere. Committed to continuous learning and growth, with a positive attitude that enhances workplace dynamics. Eager to apply educational background and skills to make a meaningful impact in the healthcare field.
Overview
24
24
years of professional experience
Work History
Clinical Insurance Reviewer
Virginia Oncology Associates
Norfolk, Va
05.2013 - 06.2025
- Review all new and existing chemotherapy regimens, supportive medications, BITE/CAR-T and Autologus stem cell regimens for compliance with NCCN guidelines and insurance coverage guidelines. Research for supporting documentation and published studies for any off label regimens ordered. Obtain insurance authorizations as needed.
- Supported continuous improvement initiatives by actively participating in team meetings, trainings, and workshops focused on enhancing reviewer skills and processes.
- Stayed up-to-date on industry trends and best practices, incorporating relevant information into reviews as needed.
- Evaluated patient medical records for accuracy and compliance with established guidelines.
- Collaborated with healthcare teams to streamline review processes and enhance operational efficiency.
- Developed training materials for new staff on review protocols and documentation standards.
- Mentored junior reviewers, fostering professional growth and adherence to best practices.
- Maintained strong attention to detail while reviewing numerous documents daily, ensuring consistent quality and accuracy.
- Maintained strict confidentiality with sensitive client information, adhering to industry standards and company policies.
- Reduced turnaround time for reviews by effectively prioritizing tasks and managing deadlines.
- Contributed to the development of a knowledge base for common issues encountered during reviews, streamlining future problem-solving efforts.
Chemotherapy Scheduler
Virginia Oncology Associates
Newport News, VA
07.2009 - 05.2013
- Schedule all nursing appointments, to IV infusions, chemotherapy and all injectibles. Scheduled all follow appointments with the physician, all outside procedures, hospital admissions and authorized them when necessary.
Special Procedure Scheduler
Virginia Oncology Associates
Newport News, VA
08.2003 - 07.2009
- Schedule large volume of special procedures for all Peninsula offices. Speaking with the insurance companies to obtain insurance authorizations if needed. Also worked at the front desk, checking-in and checking-out patients. Answering the phones and making bank deposits when needed.
Receptionist and Coder
Smithfield Medical Center
Smithfield, VA
04.2001 - 08.2003
- Check-in, check-out, scheduling appointments, answering phones, handling correspondence for the physicians and medical records management.
Medical Billing Extern
Urology of Virginia, P.C.
Newport News, VA
03.2001 - 04.2001
- Charge entry, coding ICD-9 and CPT for minor surgical procedures, learning the process of compliance and auditing medical records.
Education
PMCC/AAPC course - CPC certification obtained
Patricia A. Cox
10.2012
Kee Business College - Medical Insurance Billing and Coding
Kee Business College
Newport News, VA04.2001
Certified Nurses Aid Program - undefined
Sentara Bayside Hospital
Virginia Beach, VA06.2000
Medical Assistant Program - undefined
Medical Careers Institute
Newport News, VA08.1999
Advanced Studies Diploma - undefined
Warwick High School
Newport News, VA06.1992
Skills
- Knowledge of ICD-9, CPT, and HCPCS coding procedures
- Medical terminology, medical records management
- Medical posting and billing
- Well informed with insurance coverage guidelines and procedures regarding authorizations
- Attention to detail
- Email communication
- Adaptability and flexibility
- Decision-making
- Accuracy and precision
- Critical thinking
- Data entry
- Deadline attainment
- Work prioritization
- Dependability and cooperation
- Clear communication
Timeline
Clinical Insurance Reviewer
Virginia Oncology Associates
05.2013 - 06.2025
Chemotherapy Scheduler
Virginia Oncology Associates
07.2009 - 05.2013
Special Procedure Scheduler
Virginia Oncology Associates
08.2003 - 07.2009
Receptionist and Coder
Smithfield Medical Center
04.2001 - 08.2003
Medical Billing Extern
Urology of Virginia, P.C.
03.2001 - 04.2001
Kee Business College - Medical Insurance Billing and Coding
Kee Business College
Certified Nurses Aid Program - undefined
Sentara Bayside Hospital
Medical Assistant Program - undefined
Medical Careers Institute
Advanced Studies Diploma - undefined
Warwick High School
PMCC/AAPC course - CPC certification obtained
Patricia A. Cox