Tangie Marquita Richardson
Atlanta,GA
Summary
Skilled Precertification /AR Specialist, offering over 14 years of medical experience. I have an in-depth understanding of medical standards, compliance requirements, and operational procedures. Practiced problem-solver with a friendly and caring mentality and excellent communication skills.
Overview
14
14
years of professional experience
Work History
Precertification /AR Specialist
Thomas Eye Group
Atlanta , GA
2017.10 - Current
- Obtain demographic and insurance information for registration
- Obtain authorization for scheduled and emergent surgical procedures
- Verify insurance eligibility and benefits
- Knowledgeable of Medicare/Medicaid products and commercial insurance
- Knowledgeable of ICD-10 diagnosis/CPT coding and Medical terminology
- Knowledgeable of departmental applications i.e., Mod Med, Compulink, Clearwave, Okta, Microsoft products
- Prepare fee estimates for scheduled surgical procedures based on co-insurances, deductibles, copays, and out-of-pocket accumulations
- Communicates with surgical coordinators, physicians, and ophthalmic technicians
- Communicates with primary care physicians
- Researched discrepancies between customer payments and open invoices.
- Assisted with month-end close process by preparing journal entries related to Accounts Receivable activity.
- Documented all Accounts Receivable transactions accurately in the system according to established procedures.
Medical Imaging Scheduler
Wellstar Heath System
Marietta , GA
2014.08 - 2017.10
- Performed scheduling and canceling all imaging procedures for patients in a high volume fully computerized environment
- Provided training to new hires and other staff on the Epic system processes
- Assisted in interviewing new candidates for open scheduler positons
- Maintained the authority to place on stat procedures for the other schedulers
- Entered faxed orders from physicians in Epic system for patient scheduling
- Entered patients medical insurance into the Epic system to obtain approval for services
- Supervised a unit of 8 EMR schedulers responsible for calling patients to schedule their exams
Medical Scheduler
Kaiser Permanente
Atlanta , GA
2013.12 - 2014.08
- Scheduled and canceled appointments for adult, pediatric, and dermatology patients with Kaiser Permanente
- Acted as a professional liaison for staff, medical staff, and physicians’ offices.
- Maintained general knowledge of radiological procedures, exam preparations, exam sequencing, and other related functions
- Assisted patients with billing inquiries, resolving any issues quickly and efficiently.
- Maintained a high level of customer service when interacting with patients over the phone or in person.
- Performed clerical tasks such as filing paperwork, entering data into computer systems, and managing electronic health records.
Patient Benefits Representative
Coventry Health Care
Newark , DE
2010.09 - 2012.11
- Obtained insurance coverage information and demographics, prior to a patient receiving treatment
- Educated patients on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses
- Assessed patient’s ability to meet expenses and discussed payment arrangements
- Educated patients on financial assistance programs as well as identify sources and provide assistance with completing forms
- Completed appropriate reimbursement and liability forms for patient’s review and signature
- Obtained insurance pre-authorization or referral approval codes prior to each treatment
- Provided customer service to employees regarding their benefits packages, including answering questions and resolving issues.
Education
High School Diploma -
Glasgow High School
Newark, DE2002-06
Skills
- Medical Records Maintenance
- Appointment Scheduling
- Patient Information Collection
- Health Insurance Verification
- Bookkeeping
- Compliance Oversight
- Medical terminology proficiency
- Proficiency in Microsoft Office
- Effective communication skills
- Data Entry
- Verbal Communication
- Policy Interpretation
- Cultural Competency
- Payment tracking
Timeline
Precertification /AR Specialist
Thomas Eye Group
2017.10 - Current
Medical Imaging Scheduler
Wellstar Heath System
2014.08 - 2017.10
Medical Scheduler
Kaiser Permanente
2013.12 - 2014.08
Patient Benefits Representative
Coventry Health Care
2010.09 - 2012.11
High School Diploma -
Glasgow High School
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