Stephanie Reid
Fairburn,GA
Summary
Friendly Insurance Verification Specialist promoting a background in keeping sensitive patient data confidential while maintaining knowledge of Medicaid and private policy benefits. Possessing great relationship building and communication skills. Looking to tackle new challenges with a company that values dynamic skills and a strong work ethic.
Overview
32
32
years of professional experience
Work History
Insurance Verification Specialist
Shared Services Center
Fort Smith, AR
10.2023 - 04.2024
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Provided timely follow up with payers regarding payment status of claims.
- Performed daily audits of submitted claims to ensure compliance with industry standards and regulations.
- Participated in training sessions on new software programs used for verification purposes.
Prior Authorization Specialist
Alpha Internal Medicine
Fayetteville, GA
01.2008 - 12.2021
- Managed clinical back office medical assistants including Chronic care Management phone calls, Patient referrals, Precertification on imaging testing, insurance referrals, medication prior authorizations
- Responded promptly to inquiries from providers, patients and payers regarding status of prior authorization requests.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
MEDICAL/TRIAGE ASSISTANT
PIEDMONT MEDICAL CARE
01.2002 - 12.2006
- Responsible for assisting medical assistants and triaging physicians incoming sick calls. Precert all diagnostic testing, Submit authorizations for non-formulary medications. Home health point of contact.
MEDICAL ASSISTANT/FRONT OFFICE
Piedmont Medical Care
03.1999 - 11.2001
- Appointment scheduler , Front desk assistant, Ensured accuracy of -9/10 codes, medical records tech, triage patients, Transferred and answered all calls heavy switch board usage
- Answered phones, scheduled appointments and managed patient flow while greeting visitors in a professional manner.
LAB TECNNICIAN
NATIONAL HEALTH LABS
01.1992 - 12.1997
- Excellent Clinical Laboratory skills with phlebotomy performance
- Responsible for patient check in and check out procedures responsible for all patient testing
Education
CERTIFICATION -
ATLANTA COLLEGE OF MEDICAL AND DENTAL
Skills
- Epic user Greenway user
- Manager
- Accurate, reliable, diligent, focused
- Knowledgeable Microsoft, excel, and fast learner of many software applications
- Punctual, Motivated,Self Assertive, Organized, Adaptable, Team player, Reliable and Easily Trained
Activities
- Volunteer for Church events
- Sunday school teacher
- Youth Choir advisor
Affiliations
President of Mass Choir and Senior Choir and Sunday School Teacher
Timeline
Insurance Verification Specialist
Shared Services Center
10.2023 - 04.2024
Prior Authorization Specialist
Alpha Internal Medicine
01.2008 - 12.2021
MEDICAL/TRIAGE ASSISTANT
PIEDMONT MEDICAL CARE
01.2002 - 12.2006
MEDICAL ASSISTANT/FRONT OFFICE
Piedmont Medical Care
03.1999 - 11.2001
LAB TECNNICIAN
NATIONAL HEALTH LABS
01.1992 - 12.1997
CERTIFICATION -
ATLANTA COLLEGE OF MEDICAL AND DENTAL
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