Sherry Helton
Cordova,TN
Summary
Dynamic professional with a proven track record at Bioventus, excelling in insurance authorization and patient communication. Highly organized and detail-oriented, I consistently achieved rapid turnaround times, minimizing delays and denials. My adaptability and collaborative spirit fostered strong relationships with colleagues and providers, ensuring optimal outcomes for patients and the healthcare team.
Overview
16
16
years of professional experience
Work History
Private Elementary Age Tutor
Rachel's Kids Inc.
Memphis, TN
01.2024 - Current
- Created and implemented intervention strategies or individualized education plans (IEPs).
- Communicated student progress to parents and teachers through written progress reports and direct conversations.
- Educated students in use of various study techniques.
- Guided students, teaching methods for working assignments and determining correct solutions.
- Helped students review and understand previous lessons to make connection with new lesson.
- Encouraged students to ask questions and participate in discussions.
- Built student self-confidence by working through stages of study concepts and using positive reinforcement techniques.
- Designed comfortable tutoring environment conducive to learning.
Clinical Coordinator/Insurance Authorization Specialist
Bioventus
Memphis, TN
08.2021 - 09.2023
- Researched and verified patient eligibility, coverage information, and benefit levels.
- Communicate with multiple insurance companies and provider groups on status updates, processed appeals, and reconsiderations.
- Assisted the sales force and the director of sales in obtaining preauthorization for durable medical equipment, averaging 200 orders monthly.
- Obtained medical records, organized medical records, and related documentation for medical necessity reviews.
- Tracked authorization statuses using electronic databases or manual filing systems.
- Investigate complex issues to assist customers and outside sales reps with viable solutions, offering the best possible outcomes for all parties involved.
- Insured rapid turnaround times with minimal delays and denials.
Insurance Authorization Specialist
Tenet Healthcare/Conifer Health Solutions
Memphis, TN
01.2011 - 02.2021
- Insurance verification and preauthorization for radiology, surgeries, and infusions for both inpatient and outpatient hospital services.
- Insurance verification for a large number of commercial government plans, including Medicaid and Medicare plans.
- Worked closely with patients and physician offices to provide complete benefit information, resulting in fewer insurance denials and fewer cancellations.
- Proficient in CPT and ICD-10 codes for a wide variety of conditions and services.
- Organized and maintained patient medical records related to medical testing.
- Data entry into EMR related to scheduled services, insurance verification, and appointments.
- Maintained close relationships with colleagues and providers to help foster a positive team environment and team morale.
Scheduler/Insurance Authorization Specialist
Park Avenue Diagnostic Center
Memphis, TN
07.2009 - 01.2011
- Schedule diagnostic testing at the outpatient center.
- Insurance verification for a large number of commercial government plans, including Medicaid and Medicare plans, and workers' compensation.
- Provide excellent communication between patients, physician offices, and diagnostic centers to ensure testing is done in a timely manner.
- Data entry into the EMR should be done in a concise and timely manner, with minimal errors.
Education
Some College (No Degree) - Business Management
Southwest Tennessee Community College
Memphis, TNSkills
- Interpersonal communication
- Team collaboration
- Highly organized
- Time management
- Attention to detail
- Data entry accuracy
- Adaptability and flexibility
- Patient communication
Timeline
Private Elementary Age Tutor
Rachel's Kids Inc.
01.2024 - Current
Clinical Coordinator/Insurance Authorization Specialist
Bioventus
08.2021 - 09.2023
Insurance Authorization Specialist
Tenet Healthcare/Conifer Health Solutions
01.2011 - 02.2021
Scheduler/Insurance Authorization Specialist
Park Avenue Diagnostic Center
07.2009 - 01.2011
Some College (No Degree) - Business Management
Southwest Tennessee Community College
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