Summary
Overview
Work History
Education
Skills
Timeline
Vernon Brixey

Vernon Brixey

Spokane,WA

Summary


Capable Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.

Overview

17
17
years of professional experience

Work History

Financial Advocate

St Charles Health Care
07.2018 - Current
  • I have become the Referral specialist. Enabling the Providers to see the Patients in a timely fashion and ensuring that they are compensated for their time.
  • Obtain authorizations for Imaging studies, and various Chemotherapy Drugs as well as their supportive drugs.
  • My knowledge of Medical insurance for 10 (Ten) years has helped streamline the process for obtaining Office Visit Referrals and compiling a list of Services the do not require authorization or review.

Government Support Specialist

Moda Health Plan Inc.
11.2015 - 04.2018
  • My duties as a Government Support Specialist was to Review Out Patient, and Durable Medical Equipment Authorization Request. If Criteria was met, following OAR, Oregon Administrative Rules, LCD, Local Coverage Determination, Focus Chart, Moda Health Medical Necessity Criteria then I would approved the request and notify the Ordering Provider or Facility. If the request needed further review then it would be sent to the Medical Director for Determination of Medical Necessity.
  • I also helped with the processing of Medicare and Oregon Medicade. I also answered questions concerning the entering of an authorization as I came from Medical Intake and this was my job for 7 Years

Medical Intake Specialist

Moda Health Plan Inc.
05.2008 - 11.2015
  • While a Medical Intake Specialist I would answer incoming calls about benefits, CPT and HCPCS questions as well as question about Diagnosis codes. I entered Referrals and Authorization following guidelines. Those were obtained by reviewing the guideline found on the Focus Chart.
  • I also answered question about the Focus Chart and Referral Authorizations.

Education

High School - Basic Studies

Crook County High School, Prineville, OR
01.1983

Cosmetology with emphasis on Color

Central Oregon Beauty College, Bend, OR
01.1986

Nursing Support Classes

Central Oregon Community College, Bend, OR

Skills

  • Experienced with Microsoft Office applications
  • Document management
  • Expertise in scheduling and referrals
  • Skill enhancement programs
  • Client-oriented
  • EPIC Medical Software

Timeline

Financial Advocate - St Charles Health Care
07.2018 - Current
Government Support Specialist - Moda Health Plan Inc.
11.2015 - 04.2018
Medical Intake Specialist - Moda Health Plan Inc.
05.2008 - 11.2015
Central Oregon Beauty College - , Cosmetology with emphasis on Color
Central Oregon Community College - , Nursing Support Classes
Crook County High School - High School, Basic Studies

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