Detail-oriented Medical Authorization & Billing Specialist offering over 10 years of experience in fast-paced settings. Excels in meeting production goals and deadlines without errors. Pursuing a new professional challenge with room for advancement.
Overview
11
11
years of professional experience
Work History
Remote Authorization Specialist
SSC
10.2023 - Current
Improved patient satisfaction by streamlining authorization processes and ensuring timely responses to inquiries.
Enhanced departmental efficiency with thorough knowledge of insurance guidelines and medical terminology.
Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
Reduced processing times by effectively managing a high volume of authorizations.
Developed strong relationships with insurance representatives to expedite approvals and resolve issues promptly.
Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
Prevented delays in care delivery by proactively identifying potential issues during the pre-authorization process and seeking clarification from providers when needed.
Lead Medical Assistant
Southern Charm Women’s Health
08.2022 - 10.2023
Documented patient information in EMR and prepared paperwork for medical staff.
Assisted with routine checks and diagnostic testing by collecting and processing specimens.
Monitored office procedures to correct problems and implement proactive improvements for better patient flow.
Prepared and administered medications to alleviate patient symptoms.
Collected co-payments from patients for visits and completed daily cash deposits to secure funds.
Authorizations
Precepted newly hired medical assistants to train each on office procedures and important tasks.
Processed referral requests from patients, doctors and other health care professionals.
Medical Billing Manager
Allergy And Asthma Associates Of Allen
01.2015 - 07.2020
Reviewed billing problems, researched issues and resolved concerns
Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
Worked cross-functionally with customer service, inventory, and finance teams for conflict resolution.
Worked with customers to develop payment plans and bring accounts current.
Managed Prior Authorization's and Collections.
Worked with customers to develop payment plans and bring accounts current
Collected payments and applied to patient accounts.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.