Molly K. Roberson

Tulsa, Oklahoma 321-***-**** ac2tu0@r.postjobfree.com

Objective:

To demonstrate professional team playing, listening attentively, effective organizational skills, accuracy, and a commitment to achieving the goals of the organization. To continuously learn current technology, remaining adaptable to new challenges with exceptional communication and interpersonal skills in order to benefit the organization.

Experience:

St. John Medical Center Tulsa, OK 10/2016 – 03/2017

Authorization Specialist

•Provides and coordinates with physicians offices and insurance companies in obtaining authorization for all hospital admissions

•Enters patient insurance authorizations and any pertinent information from insurance company into the patient account history. Documents insurance coverage of services to be provided

•Notifies case management about interactions with insurance companies regarding services. Manages denials or potential denials as described by insurer.

•Monitors and reviews applicable schedule to ensure that authorization and initial length of stay is obtained and on file

Parrish Medical Center, Titusville, FL 10/2014 - 4/2016

Intake Coordinator

•Specialized in medical pre-authorization requirements, utilizing HHM and Medisoft Billing Systems to accurately complete and initiate documentation constantly following the organization policy and procedures (HIPPA) compliance.

•Completed tasks based on priority to support medical staff, patients and vendors, successfully completed medical packages. Coordinated with team members and demonstrated positive attitude, detail-oriented and problem solving skills.

•Verified insurance coverage and benefits, CPT and ICD 9/10 coding, and successfully prepared and transmitted claims.

Wuesthoff Health Systems, Rockledge, FL 9/2002 – 09/2014

Authorizations and Billing

•Attached and prepared documentation including referrals, biller and third party payers, completed accurate registration, including patient demographics and current insurance information.

•Liaison between the business department, billers and third party payer. Placed outgoing calls to insurance companies to inquire on claim status.

•Assisted management in month end reporting as requested and resolved customer’s or billing complaints / serve levels, successfully prepared and transmitted patient’s claims.

•Understanding of insurance denials and resolution process, experienced in appealing claims and assisting patients in problem solving potential issues related to health care.

Education

Brevard Community College Cocoa, FL Medical Billing and Coding May 2004

Tulsa Junior College, Tulsa, OK Medical Terminology/Anatomy and Physiology Mar 99

Metropolitan College of Legal Studies Tulsa, OK Court Reporting Feb 1997

Industry Training

Goodwill Training Academy Tulsa, OK Sept 2016

Obtained classes in Career Readiness Training Class (CRT)

Selected classes in the Employment Essentials

Leadership and Team Building Classes

Classes on yearly updates for CPT, ICD 9 - 10 Codes

Coursework in Healthcare Management

Coursework in Medical Assisting

Coursework in Health Information Administration