Terri Jackson
Newnan,GA
Summary
Detailed-oriented Prior Authorization Specialist and Competent Procedure Scheduler with over 20 years of patient-focused experience. Dependable professional with an ability to manage multiple departments with a proactive attitude while providing exceptional customer service to all physicians, patients and colleagues.
Overview
18
18
years of professional experience
Work History
Financial Care Agent
Piedmont Newnan Hospital
Newnan, GA
08.2023 - Current
- Coordinate referrals between primary care providers, specialists, and other healthcare professionals.
- Schedule and confirm infusion and lab appointments.
- Perform insurance verification, pre-certification, and pre-authorization.
- Research and resolve discrepancies in medical billing codes, insurance coverage details, and other data required for claims submission.
- Maintain confidentiality of patient information in compliance with HIPAA regulations.
- Perform pre-registration functions, such as verifying demographic information and collecting deductibles, and co-payments.
Prior Authorization/Scheduler/New Patient Referral Coordinator
Southern Pain and Spine/GA Pain and Spine Care
Newnan, GA
11.2021 - 07.2023
- Contacted insurance companies to obtain necessary pre-authorizations needed for upcoming tests and procedures.
- Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
- Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
- Identified reasons behind denied authorizations and worked closely with providers to promote resolutions.
- Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
- Located scheduling barriers and implemented appropriate solutions.
- Distributed treatment and procedural information to patients.
- Processed patient responsibility estimate determined by insurance prior to scheduling procedures.
- Reviewed data obtained from referring physicians for completeness and accuracy.
- Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
Clinical Scheduling Logistics Coordinator
Cancer Treatment Centers of America
Newnan, GA
01.2016 - 11.2021
- Coordinate with doctors and registered nurses to develop care plans for patients.
- Answer phone calls and emails to schedule appointments for new and return patients.
- Assist team members and fellow stakeholders with urgent needs in a timely manner.
- Coordinate patient appointments and transportation for external medical facilities.
- Maintain detailed and accurate clinic and operating schedule for multiple physicians and care teams.
- Maintain strict confidentiality and safeguard all patient-related information.
- Schedule and educate patients and caregivers for our Advanced Surgical Recovery Program (ASURE)
Front End Associate
Costo
Sharpsburg, GA
07.2019 - 10.2021
- Greeted customers and provided assistance with product selection.
- Processed customer transactions and provided excellent customer service.
- Operated register for cash, check, and credit card transactions, maintaining accuracy.
- Assisted customers with self-checkout processes and troubleshooting any issues.
- Kept checkout areas clean, organized, and replenished with necessary supplies.
- Answered store and merchandise questions and led customers to wanted items.
Office Manager/Medical Biller and Coder
Partners In Faith: Glenn M. McAlpin, MD
Newnan, GA
06.2006 - 12.2015
- Supervised and trained staff.
- Independently solved patient concerns and insurance related issues.
- Implemented new processes that resulted in shorter overtime hours.
- Communicated with patients via phone, email and in person to obtain payments on outstanding accounts or accounts requiring deductibles or co-pays.
- Managed payroll and daily bank deposits.
- Responsible for accounts payable management.
- Scheduled patients for consults, office procedures and surgeries.
- Assisted patients with understanding their insurance benefits.
- Coded and filed medical claims using superbills and chart documentation.
- Coded and filed medical claims using CPT-4, ICD-9, ICD-10 and HCPCS manuals.
Education
Healthcare Financial Management Association
2022
National Healthcareer Association
2007
Certification - Medical Billing and Coding
Georgia Medical Institute-Dekalb
2002
Nursing
Gordon State College
1996
High School Diploma - College Preparatory
East Coweta High School
1995
Skills
- Prior Authorization Requirements
- Patient Scheduling
- Excellent verbal and written communication skills
- Benefits Interpretation
- Knowledgeable in Medical Terminology
- Multi-Task Management
- Decision Making
- Conflict Resolution
- Customer Service-Oriented
- Professional Phone Etiquette
Timeline
Financial Care Agent
Piedmont Newnan Hospital
08.2023 - Current
Prior Authorization/Scheduler/New Patient Referral Coordinator
Southern Pain and Spine/GA Pain and Spine Care
11.2021 - 07.2023
Front End Associate
Costo
07.2019 - 10.2021
Clinical Scheduling Logistics Coordinator
Cancer Treatment Centers of America
01.2016 - 11.2021
Office Manager/Medical Biller and Coder
Partners In Faith: Glenn M. McAlpin, MD
06.2006 - 12.2015
Healthcare Financial Management Association
National Healthcareer Association
Certification - Medical Billing and Coding
Georgia Medical Institute-Dekalb
Nursing
Gordon State College
High School Diploma - College Preparatory
East Coweta High School
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