Talia Sanders
Summary
Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Medical Scheduler
The University of Kansas Health System
01.2024 - Current
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Answered phone calls and messages for 13 physician at the Hematology/Oncology medical facility, scheduling appointments, and handling patient inquiries.
- Collaborated with healthcare staff to verify alignment of appointment scheduling with clinic protocols.
- Verified insurance coverage and eligibility for medical services prior to scheduling appointments to prevent billing issues.
- Assisted with medical coding and billing tasks.
- Processed medical insurance claims and payments.
- Prepared and processed patient referrals and transfer requests.
- Maintained confidentiality of patient information to comply with HIPAA regulations and protect patient privacy.
- Managed multiple schedules and prioritized tasks to meet demands of fast-paced work environment.
- Followed up with patients to reschedule missed appointments.
- Coordinated with other departments to facilitate seamless operation and excellent patient care.
Insurance Claims Specialist
National General an All State Company
11.2021 - 12.2023
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Followed up with customers on unresolved issues.
- Evaluated and settled complex insurance claims in strict timeframes.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Team Leader
Research Medical Center
07.2018 - 11.2022
- Coordinated with other healthcare professionals to provide patients with comprehensive care.
- Scheduled patients for appointments and maintained master calendar.
- Performed basic laboratory tests and collected specimens for further testing.
- Supported office operations by expertly handling administrative needs.
- Helped clinical staff with in-office procedures by organizing spaces and passing instruments.
- Established open and professional relationships with team members to achieve quick resolutions for various issues.
- Evaluated staff performance and provided coaching to address inefficiencies.
- Assisted in recruitment to build team of top performers.
- Gathered, organized and input information into digital database.
Web Support Specialist
US Bank Service Center
10.2012 - 09.2018
- Diagnosed and troubleshot hardware, software and network issues.
- Generated reports to track performance and analyze trends.
- Maintained servers and systems to keep networks fully operational during peak periods.
- Responded to customer inquiries and provided technical assistance over phone and in person.
Education
Certified Professional Coder - Medical Billing And Coding
The American Academy of Professional Coders
Salt Lake City, UT03.2023
High School Diploma -
Southeast High School
Kansas City, MO05.2009
Skills
- Patient confidentiality
- Schedule Management
- File preparation
- Appointment Coordination
- Data Entry
- Strong Organization
- Insurance Verification
- HIPAA Compliance
- Medical Coding
- Documentation Review
- Medical Terminology
- EHR Software
- Epic Systems
Affiliations
- The American Academy of Professional Coders(Member)
Certification
- CPC - Certified Professional Coder
Timeline
Medical Scheduler
The University of Kansas Health System
01.2024 - Current
Insurance Claims Specialist
National General an All State Company
11.2021 - 12.2023
Team Leader
Research Medical Center
07.2018 - 11.2022
Web Support Specialist
US Bank Service Center
10.2012 - 09.2018
Certified Professional Coder - Medical Billing And Coding
The American Academy of Professional Coders
High School Diploma -
Southeast High School
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