Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
12
12
years of professional experience
Work History
Office Supervisor
Home Sleep Delivered
Lafayette, LA
11.2021 - Current
Supervised, trained and mentored staff members in the use of office equipment and procedures.
Monitored and evaluated office operations to ensure accuracy and efficiency.
Developed, implemented and maintained office systems, policies and procedures for record keeping, filing and other administrative activities.
Maintained inventory of office supplies by ordering materials as needed.
Ensured compliance with safety regulations within the workplace environment.
Conducted regular performance evaluations for staff members.
Managed payroll processing functions for all employees in the department.
Resolved customer complaints regarding products or services offered by the company.
Assisted with recruitment processes including interviewing potential candidates.
Generated reports detailing progress made on specific assignments or tasks.
Processed invoices from vendors in a timely manner to avoid late payment penalties.
Attended weekly staff meetings to discuss current issues affecting the department.
Authorization Specialist
Cardiology Specialists Of Acadiana
Lafayette, LA
10.2018 - 10.2021
Provided customer service to internal and external customers related to authorization requests.
Researched patient eligibility, coverage information, and benefit levels.
Reviewed authorization requests for accuracy and completeness.
Maintained current knowledge of applicable regulations, laws, and standards.
Verified insurance authorizations with payers via telephone or web-based systems.
Coordinated communication between providers, patients, payers, and other departments as needed.
Prepared appeal letters on behalf of clients when necessary to resolve disputes with insurers.
Performed data entry into various computer systems including but not limited to EMRs
Authorization Specialist
LHC Group
Lafayette, LA
05.2018 - 10.2018
Provided customer service to internal and external customers related to authorization requests.
Researched patient eligibility, coverage information, and benefit levels.
Reviewed authorization requests for accuracy and completeness.
Maintained current knowledge of applicable regulations, laws, and standards.
Verified insurance authorizations with payers via telephone or web-based systems.
Coordinated communication between providers, patients, payers, and other departments as needed.
Prepared appeal letters on behalf of clients when necessary to resolve disputes with insurers.
Performed data entry into various computer systems including but not limited to EMRs
Authorization Specialist
Orthopedic and Sports Physical Therapy
Lafayette, LA
10.2015 - 05.2018
Provided customer service to internal and external customers related to authorization requests.
Researched patient eligibility, coverage information, and benefit levels.
Reviewed authorization requests for accuracy and completeness.
Maintained current knowledge of applicable regulations, laws, and standards.
Verified insurance authorizations with payers via telephone or web-based systems.
Reviewed medical records to ensure accuracy and completeness.
Collected, filed, scanned, and retrieved confidential patient information.
Collaborated with multiple departments to coordinate release of information requests from patients, legal representatives, insurance companies.
Office Manager/Medical Billing Specialist
Debbie Fontenot Physical Therapy & Wellness
Lafayette, LA
01.2012 - 09.2015
Supervised staff members, organized schedules and delegated tasks.
Maintained filing system for records, correspondence and other documents.
Ordered supplies and equipment to maintain adequate inventory levels.
Answered phone calls, responded to emails, routed mail and coordinated courier services.
Resolved customer inquiries in a timely manner while maintaining positive relationships with clients.
Managed front desk operations including greeting visitors, answering questions or directing them to appropriate personnel.
Calculated billing charges, prepared and submitted claims to insurance companies.
Verified insurance authorizations with payers via telephone or web-based systems.
Processed prior authorization requests in accordance with departmental guidelines.
Education
High School Diploma -
Homeschool
Lafayette, LA
05-2005
Some College (No Degree) - Automotive Mechanics
SLCC
Lafayette
Skills
Workflow Planning
Payroll and Budgeting
Staff Supervision
Office Administration
Staff Hiring
Data Entry
Customer Service
Billing
Compliance Monitoring
Payroll Processing
Staff Training
References
References available upon request.
Timeline
Office Supervisor
Home Sleep Delivered
11.2021 - Current
Authorization Specialist
Cardiology Specialists Of Acadiana
10.2018 - 10.2021
Authorization Specialist
LHC Group
05.2018 - 10.2018
Authorization Specialist
Orthopedic and Sports Physical Therapy
10.2015 - 05.2018
Office Manager/Medical Billing Specialist
Debbie Fontenot Physical Therapy & Wellness
01.2012 - 09.2015
High School Diploma -
Homeschool
Some College (No Degree) - Automotive Mechanics
SLCC
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