Stefanie Bailey
New Bern,NC
Summary
Efficient Precertification Specialist known for swift and productive handling of tasks. Skill set includes comprehensive knowledge in insurance verification, medical coding (ICD-10, CPT), and patient records management. Excel in communication, time management, and problem-solving, ensuring seamless preauthorization processes that facilitate patient care coordination and billing accuracy.
Overview
21
21
years of professional experience
Work History
Precertification Specialist
CarolinaEast Medical Center
New Bern, NC
03.2024 - Current
- Resolved any discrepancies identified during the precertification process.
- Communicated with patients with compassion while keeping medical information private.
- Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
- Researched current payer policies related to specific services or diagnoses as needed.
- Reviewed patient medical records to determine medical necessity for requested services and procedures.
- Compiled and submitted precertification requests for review by payers in accordance with established timelines.
- Routed laboratory or diagnostic results to appropriate staff.
- Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance.
- Transcribed recorded practitioners' diagnoses and recommendations into medical records.
- Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
Licensed Realtor
First Carolina, REALTORS
Havelock, NC
03.2022 - Current
- Established positive flow of communication with clients, banks and attorneys to foster seamless property transactions.
- Organized property tours for potential buyers, highlighting key features of each property visited.
- Facilitated real estate purchases by reviewing listings, accompanying clients to properties and communicating sale conditions.
- Established and maintained positive relationships with owner banks, non-owner banks, attorneys, mortgage lenders and builders.
- Expanded new business with implementation of networking and marketing strategies and generation of sales collateral.
Scheduling Coordinater II
Alliance Imaging At Belden Village Mri
Newport Beach
08.2004 - 03.2022
- Provided guidance to team members regarding best practices related to scheduling tasks.
- Tracked and reported on scheduling errors or issues, implementing corrective actions as needed.
- Developed effective scheduling processes to achieve production objectives.
- Coordinated appointments with customers and staff members according to availability.
- Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
- Updated patient accounts with changes in insurance coverage or other relevant information.
- Prevented double bookings and set aside appropriate time in between appointments.
- Completed relevant insurance and other claim forms.
- Performed bookkeeping duties, preparing and sending financial statements or bills.
- Created and maintained patient records, including medical histories, reports and correspondence.
- Managed appointment cancellations and rescheduling, minimizing gaps in physicians' schedules.
- Ensured compliance with HIPAA regulations related to patient privacy.
- Updated patient records with appointment and billing information promptly.
- Adjusted appointments according to priority and tracked appointment durations.
- Communicated effectively with patients regarding appointment details, preparation instructions, and follow-up care.
- Assisted patients with canceling and rescheduling appointments.
- Managed waiting lists for appointments, ensuring urgent cases were prioritized.
- Answered telephones and directed calls to appropriate medical or adminstrative staff.
- Assigned tasks to appropriate personnel based on their skill level and availability.
- Handled incoming calls and directed callers to appropriate department or employee.
- Ensured compliance with established policies and procedures related to scheduling activities.
Education
High School Diploma -
Havelock High School
Havelock, NC06-1987
Some College (No Degree) - Education
Kent State University
Kent, OHSome College (No Degree) - BLET
Craven Community College
New Bern NCSkills
- Healthcare regulations
- Medical billing
- Organizational growth
- Medical terminology proficiency
- HIPAA compliance awareness
- Professionalism and ethics
- Electronic health records management
- Prior authorization
- Strong communication skills
- Conflict resolution techniques
- Insurance verification expertise
- Patient confidentiality adherence
- Documentation and paperwork
- Effective communication skills
- Documentation and reporting
- Policy interpretation
- Advocacy and counseling
- Verbal communication
References
References available upon request.
Timeline
Precertification Specialist
CarolinaEast Medical Center
03.2024 - Current
Licensed Realtor
First Carolina, REALTORS
03.2022 - Current
Scheduling Coordinater II
Alliance Imaging At Belden Village Mri
08.2004 - 03.2022
High School Diploma -
Havelock High School
Some College (No Degree) - Education
Kent State University
Some College (No Degree) - BLET
Craven Community College
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