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Financial Coordinator and Authorization Specialist Resume Example

Resume Score: 80%

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MH
FINANCIAL COORDINATOR AND AUTHORIZATION SPECIALIST
Summary
Skills
  • Knowledgeable in Meditech,IKM,Centricity,Onco EMR,G4 Reg Overlay
  • Advocacy and Counseling
  • Telephone etiquette
  • Applicant support and service
  • Program understanding and advisement
  • Process improvement
  • Customer service
  • Insurance billing
  • MS Office
  • Team management
  • Problem resolution
  • Administrative support
  • Communications
  • Supervision
  • Organization
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.

  • Recognized by management for providing exceptional customer service.
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
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Resume Overview

School Attended

  • Rangeview High School

Job Titles Held:

  • Financial Coordinator and Authorization Specialist
  • BMT Scheduler
  • Insurance Coordinator
  • Front Desk Supervisor

Degrees

  • GED

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