Viola Banks
Fayetteville,NC
Summary
To secure a career in a reputed organization, which appreciates professional approach and hard work, where I can utilize my knowledge, various skills & experience in contribution towards fulfilling the company’s growth objectives, develop my career and excel in the related field.
Overview
23
23
years of professional experience
Work History
Senior Case Management Assistant
Independent Blue Cross
02.2024 - 12.2025
- Works remotely for 8 years
- Assigns 6 Transitions of care cases the Health Coaches daily
- Add health Coaches weekly stats 1st thing Monday morning
- Make outbound calls/ follow calls to schedule an appointment
- Assign inter-office referral emails to Health Coaches
- Forward faxes to Medicare nurses
- Use SharePoint to track and log all cases and transactions daily
- Assisting Medicare members with community resources
- Processing Specialty Drugs cases
Senior Pre-Certification Specialist
Independent Blue Cross
03.2013 - 02.2024
- Works remotely for 6 years
- Handled call center communications from members and health care professionals
- Verified patient eligibility via multiple eligibility systems
- Verified participation status of professional and facility providers, using the National Provider Indentification (NPI) registry
- Processed precertification request from members and providers using NaviNet and telephonically
- Processed incoming mail and responses
- Implemented the corporate quality customer-focused professionalism and accuracy standards
- Performed additional duties as assigned
- Verifies Credentialing status for providers completing initial and subsequent packages
Medical Receptionist
St. Francis Hospital
11.2009 - 03.2013
- Insurance verification, precertification
- Insurance referral
- Confirm appointments
- Pull and file patient charts along with dictation
- Patient Registration
- Surgery Scheduling
Patient Resource Representative
Lankenau Hospital
10.2007 - 08.2008
- Verify insurances using NaviNet software, obtained patient referrals and precertification
- Activate accounts and Medicare online programs
- Patient pretesting reservations, charts and follow-ups
- Documentation scanning
- PAT and surgery scheduling
ER Financial Counselor/Assistant ER Manager
St. Christopher’s Hospital
05.2003 - 10.2007
- Verified patient insurance, obtained referrals and pre-certifications
- Managed all aspect of registration, prepared MA/Medicaid applications
- Created and maintained employee schedules and time cards using Krono software
Medical Assistant/Patient Registrar
Woodland Avenue Health Center
06.2004 - 10.2001
- Vital sign readings
- Patient blood testing
- Patient registration
- EKG placements
Education
Medical Assistant Diploma -
Thompson Institute
Phila., PASkills
- Supervisory skills
- Office management abilities
- Organizational skills
- Proficient in communications
- Validates provider credentials and status
Timeline
Senior Case Management Assistant
Independent Blue Cross
02.2024 - 12.2025
Senior Pre-Certification Specialist
Independent Blue Cross
03.2013 - 02.2024
Medical Receptionist
St. Francis Hospital
11.2009 - 03.2013
Patient Resource Representative
Lankenau Hospital
10.2007 - 08.2008
Medical Assistant/Patient Registrar
Woodland Avenue Health Center
06.2004 - 10.2001
ER Financial Counselor/Assistant ER Manager
St. Christopher’s Hospital
05.2003 - 10.2007
Medical Assistant Diploma -
Thompson Institute