Krystal R. Powell
Charlotte, NC *****
acxc7e@r.postjobfree.com
Summary of Qualifications
I am a determined health-care professional with 15 years of industry experience. I have had great success in previous positions due to my ability to efficiently handle customer needs, promptly meet deadlines, and seamlessly diffuse challenging customers.
Professional Experience
Procedure scheduler
Carolina Healthcare system
Charlotte, NC 2015-Present
●Meet with 10-15 patients daily, provide instruction on prep protocol, exam day procedures, and explain MD recommendations for preventive healthcare.
●Serve as a liaison between providers and patients, coordinate the scheduling of: radiology, diagnostic, and screening tests.
●Facilitate the authorization and precertification of patients with insurance companies, maintaining compliance and clinical documentation.
Patient Access Representative
Northwestern Medical Faculty Foundation
Chicago, IL 2011-2014
●Received telephone calls, faxes, and referrals to schedule patient appointments with cardiologist, heart failure, and electrophysiology physician.
●Scheduled patients with the Vascular/Vein clinic, based on diagnosis and test results. Provided specific instructions to prepare patients for the day of their service. Scheduled patients for stress, dobutamine, EKG, event and holter monitor test, per MD request.
●Registered new patients in the IDX and EPIC system, updated demographic information, sent messages to RN for prescriptions refills, and assisted with asymptomatic patients.
Utilization Management Rep I Unicare--Well Point
Chicago, IL 2008-2010
●Managed 80-120 incoming calls from providers regarding patient authorization questions.
●Provided authorization for inpatient admission and outpatient pre-certification.
●Served as a liaison between Medical Management and internal departments, facilitated peer to peer reviews for cases in denial state.
Billing Assistant II Kirkland & Ellis LLP
Chicago, IL 2005-2007
●Created corporate invoices and disseminated drafts, specialized to meet client’s needs.
●Served as liaison between accounts & receivables dept. and clients, clarifying discrepancies.
●Produced vendor bills, expense reports, and provided billing support to the department.
Intake Representative (MSA) Blue Cross & Blue Shield of Illinois
Chicago, IL 2000-2005
●Answered between 60-80 calls daily, in an in-bound call center environment.
●Approved inpatient hospital stays and outpatient procedures. Provided information concerning medical policies, physician, and hospital networks. Promoted to handle inpatient and outpatient services for Blue Cross employees.
●Claims Inventory Specialist and tasks included: identifying COB or subrogation status, determined payment claim options, and facilitated claim transactions.
Technical Skills
●Proficiencies in micro-software packages: Milliman, ASA 400, Medecision, and Great Plains.
●Extensive knowledge utilizing IDX and Epic. Certified Patient Care and Medication Aide Technician, Phlebotomist and EKG Technician, CNA, and Medical Terminology.