Shannan Cousin
Customer Service
Las Vegas,NV
Summary
Hardworking and passionate job seeker with strong organizational skills eager to secure a Prior Authorization Specialist position. Ready to help team achieve company goals.
Overview
10
10
years of professional experience
Work History
Billing Account Rep/Prior Authorization Specialist
Laureate Medical Group At Northside Hospital
03.2020 - Current
- Researching, analyzing and resolving account balances, denials and tracers for over 50 patients. Investigate outstanding and patient claims and resolve or escalate to proper level
- Working pending claims from aging basket, writing appeals and following thru appeals process
- Follow up at regular intervals to collect outstanding unpaid claims
- Working various companies and government insurance companies
- Prior Authorization Specialist is responsible for obtaining prior authorizations for all procedural orders by successfully completing authorization process with all necessary payers
- Review chart documentation/EMR to ensure patient meets medical criteria for services/procedures requested. Performs telephonic/fax/online review of procedures to insurance carriers
- Prioritize incoming authorization requests according to urgency
- Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations
Insurance Verification Specialist
Laureate Medical Group at Northside Hospital
02.2019 - 01.2020
- Called over 65 or more in a week insurance companies to ascertain pertinent information regarding policies and payment benefits for patients
- Instructed clients on amounts covered under benefits plans in easy-to-understand terminology
- Verified that patients had proper insurance coverage prior to any procedures or appointment scheduling.
Front Office Personnel
Laureate Medical Group at Northside Hospital
02.2018 - 02.2019
- Supported clerical needs for more then 30 Dr's, including taking messages, scanning documents
- Scheduled appointments on behalf of staff members to keep office operations smooth and efficient
- Answered phone calls daily and pleasantly welcomed visitors to office
Medical Records/Receptionist
Lifesigns Clinic
09.2013 - 12.2017
- Maintained accurate records and reports for over 100 patients' regarding histories and progress, services provided and other required information
- Evaluated quality and integrity of electronic chart data
- Completed timely uploads of medical records to patient charts
- Verified record copies before handing each over to check for and remove unnecessary details
Education
Diploma -
Parkview Baptist High School
Houston, TX06.1991
Skills
- Account Resolutions
- Project Management
- Account Updates
- Account managing
- Healthcare billing
Most Insurance Verified
Verifying authorization for the month of August which is the process of confirming a patient's insurance coverage and benefits prior to an encounter. More importantly, it's the process of confirming that a patient's insurance plan covers the services you provide and is in your network.
Timeline
Billing Account Rep/Prior Authorization Specialist
Laureate Medical Group At Northside Hospital
03.2020 - Current
Insurance Verification Specialist
Laureate Medical Group at Northside Hospital
02.2019 - 01.2020
Front Office Personnel
Laureate Medical Group at Northside Hospital
02.2018 - 02.2019
Medical Records/Receptionist
Lifesigns Clinic
09.2013 - 12.2017
Diploma -
Parkview Baptist High School
Similar Profiles
ShaJuanda DanielsShaJuanda Daniels
Coding Manager at Laureate Medical Group at Northside HospitalCoding Manager at Laureate Medical Group at Northside Hospital
Cassandra Kizzie, CPCCassandra Kizzie, CPC
PRESCRIPTION REFILL TECHNICIAN at Laureate Medical Group at Northside HospitalPRESCRIPTION REFILL TECHNICIAN at Laureate Medical Group at Northside Hospital
ChaQuisia PullinChaQuisia Pullin
Prescription Refill Technician at Laureate Medical Group- Northside HospitalPrescription Refill Technician at Laureate Medical Group- Northside Hospital