Financial Coordinator And Authorization Specialist Resume Example Company Name

FINANCIAL COORDINATOR AND AUTHORIZATION SPECIALIST

Summary

Skills

Experience

Company Name | City, StateFinancial Coordinator and Authorization Specialist03/2015 - Current

Conversed with people from different cultures daily, by calling multiple insurance companies Aetna,MCD,MCR,BCBS,UHC,VA,Tricare West, by providing a high level of respect and patience with each interaction.,
Explained eligibility details and affordability options to patients with kindness and respect.
Inputted all communication with using multiple systems, IKM, Centricity, G4, Soarian, Reg overlay to facilitate future clarification and knowledgeable support.
Cultivated effective fact-checking and research talents from daily reviews of program eligibility requirements.
Reviewed criteria for different aid programs to determine eligibility for various applicants.
Provided excellent service and attention to patients when face-to-face or through phone conversations.
Improved patients satisfaction by finding creative solutions to problems.
Demonstrated self-reliance by meeting and exceeding workflow needs.
Validated insurance and advised patients of benefits and coverage.
Secured pre-authorizations and pre-certifications for patients getting chemo being performed in office settings.
Created master spreadsheet to record chemo regimens, denials and approvals of authorizations.
Verified policy holder data, including age, contact number and physical address.

Issued receipts and handled the collection of premiums.

Company Name | City, StateBMT Scheduler11/2001 - 03/2015

Processed payments and updated accounts to reflect balance changes.
Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services.
Called patients to schedule to their weekly appointments, consistently double-checking information and availability.
Conducted patient intake interviews to collect medical information and insurance details.
Supported administrative and healthcare staff, providing order fulfillment and inventory management services to ease operations.
Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses.
Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
Worked with 16 doctors to prepare and correct daily appointment types and monthly meetings for all providers, scheduled daily transplant appointments for patients
Answered phone calls to provide assistance, information and medical personnel access to maximize office efficiency.
Compiled physical and digital documents, charts and reports to meet business and patient need.
Addressed, documented, and responded to incoming correspondences to address client queries.
Managed physician calendar, including scheduling patient appointments and procedures.
Answered 20-30 average daily phone calls to schedule appointments and address patient inquiries.
Updated patient financial information to promote accurate record keeping.

Company Name | City, StateInsurance Coordinator11/1999 - 11/2001

Efficiently managed collections and receivables, referrals process and billing to meet revenue goals.
Obtained maximum reimbursement by following up on unpaid claims and reviewing monthly aging reports.
Validated insurance and advised patients of benefits and coverage.
Submitted claims to insurance companies and clearinghouses.
Complied with insurance regulations dictated by local, state and federal agencies.
Filed insurance claims by obtaining and entering data related to patient, insurance provider and medical code for procedures and services provided.
Secured pre-authorizations and pre-certifications for minor surgical procedures performed in office settings.
Complied with confidentiality regulations in handling customer information.
Precisely calculated refunds, premiums, and adjustments.
Verified policy holder data, including age, contact number and physical address.

Company Name | City, StateFront Desk Supervisor08/1995 - 08/1999

Conducted yearly performance evaluations of office staff to monitor progress and productivity and recommend promotions, corrective or disciplinary actions.
Handled supply purchases and inventory management for office operations and equipment maintenance.
Coordinated office activities and operations to secure efficiency and compliance with company policies.
Streamlined back office services for clients to promote proper functionality and positive user experience.
Monitored office inventory to maintain adequate supply levels and order products.
Mentored new employees on [Task] and [Task] and delivered constructive feedback to increase understanding of job duties.
Evaluated employee job performance and motivated staff to improve productivity.
Distributed company correspondence, including memos and updates to reinforce and apprise departments and divisions of corporate objectives and developments.
Automated office operations, managing client correspondence, payment scheduling, record tracking and data communications.
Monitored financial bookkeeping for accuracy and compliance, resolving identified discrepancies.
Liaised with customers, addressed inquiries, handled meeting requests and answer billing questions to provide outstanding customer care.
Optimized personnel coverage, preparing work schedules based on staff availability and forecasted demands.

Education and Training

Rangeview High School | City, StateGED

Resume Overview

School Attended

Job Titles Held:

Degrees