Syria Mason
Las Vegas,NV
Summary
Experienced professional with a solid foundation in patient assessment and client service. Demonstrated expertise in analyzing applications, verifying information, and ensuring regulatory compliance. Recognized for strong teamwork skills, adaptability, and a track record of achieving results. Proficient in managing caseloads, problem-solving, and maintaining confidentiality while prioritizing accuracy and efficiency.
Overview
5
5
years of professional experience
Work History
Authorization & Eligibility Specialist
CNS
01.2024 - Current
- Enhanced client satisfaction by providing timely and accurate eligibility determination for various assistance programs.
- Reduced errors in eligibility determinations by maintaining thorough knowledge of program guidelines and regulations.
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Assisted in training new team members on company policies and procedures for handling authorization requests.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
- Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
- Demonstrated adaptability with changing insurance requirements, maintaining up-to-date knowledge through continuous education efforts.
PATIENT SERVICE REPRESENTATIVE/BILLING REP
Coronis Health
06.2021 - 08.2023
- Handled customer service inquiries in person, via telephone and through email.
- Assisted with insurance verification tasks, ensuring accurate billing and timely reimbursement for services rendered.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Investigated insurance claims denials and appeals.
- Resolved billing inquiries and disputes in timely fashion.
Student
J Reynolds Community Colleege
08.2022 - 05.2023
- Assessed instruments, equipment and containers to promote cleanliness and proper functioning.
- Identified parameters and sterilization method required for each item to be sterilized.
- Corrected instrument sets according to current standards and established count sheets and instrument tracking systems.
- Picked instruments and supplies for surgeries.
- Inspected sterile package integrity prior to distribution.
- Wrapped trays, instrument packs and sets.
FRONT DESK/Medical Records Clerk
MEDSTAR SHAH MEDICAL ASSOCIATE
01.2020 - 01.2021
- Ensured HIPAA compliance by adhering to strict confidentiality guidelines when handling sensitive patient information.
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Scanned medical records in digital format for easy retrieval and accessibility.
- Maintained patient records systems by archiving, scanning and indexing important documents and files.
- Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.
- Maintained patient confidence by keeping patient records information confidential.
Education
Certification - Sterile Processing Technology
J Reynolds Community College
Richmond VA2025
Skills
- Electronic Recordkeeping
- Critical Thinking
- Operation Monitoring
- Quality Improvement Activities
- Infection Control Measures
- Contamination Removal
- Preparing Sets
- Data entry
- Documentation and reporting
- Knowledgeable in EHR
- Eligibility procedures
- Attention to detail
Timeline
Authorization & Eligibility Specialist
CNS
01.2024 - Current
Student
J Reynolds Community Colleege
08.2022 - 05.2023
PATIENT SERVICE REPRESENTATIVE/BILLING REP
Coronis Health
06.2021 - 08.2023
FRONT DESK/Medical Records Clerk
MEDSTAR SHAH MEDICAL ASSOCIATE
01.2020 - 01.2021
Certification - Sterile Processing Technology
J Reynolds Community College
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