CC

CAROLYN CHAFIN

carol.chafin**@gmail.com 205-***-**** Birmingham, AL 35215

Flexible and versatile Business Analyst specializing in developing innovative solutions to organizational problems. Advanced knowledge of asset tracking software. Committed to providing accurate, effective advice to customers. Creative Business Analyst with broad-based background in highly competitive and dynamic organizations. Recognized as decisive leader and excellent team player. Committed to forming strong, productive teams. Qualified Business Intelligence Analyst versed in data mapping and user acceptance testing to solve complex problems in high-pressure environments. Activates strong analytical skills to investigate trends in large amounts of data and formulate conclusions based on findings. Excels at cultivating, managing and leveraging client relationships to foster extended engagements and business opportunities.

Working in different insurance remotes

Billing multiple insurances for payment

Account resolution

Teamwork participation

Open to new ideas

Working and assisting Management

MS Office expertise

Multitasking

Active listening

Troubleshooting

Teambuilding

Relationship building

Friendly, positive attitude

Computer skills

Microsoft Office

Children of Alabama Birmingham, AL,

AL

Referral Specialist

05/2021 - Current

Tracked referral request progress and resolved issues to maintain smooth processing.

Assisted patients by answering questions and providing information regarding referrals.

Entered confidential patient information and updated electronic records in database.

Managed and obtained insurance authorizations for patient referrals from physicians.

Contacted patients to confirm or reschedule appointments to minimize no-show appointments.

Aided clinical team to support administrative needs for clinical referrals. Coordinated referral orders for patients of [Type] provider. Gathered and verified insurance requirements to meet payer requirements. Obtained PA for services such as diagnostic imaging. Liaised with healthcare facility personnel, insurance representatives, physicians and vendors for smooth communication.

Communicated with insurance representatives to gather information and verify patient benefits to determine clearance for [Area of expertise] services.

Collected required signatures to initiate referral process. Worked closely with financial counselors to guide patients on financial Summary

Skills

Experience

CC

CAROLYN CHAFIN

carol.chafin43@gmail.com 205-***-**** Birmingham, AL 35215 Flexible and versatile Business Analyst specializing in developing innovative solutions to organizational problems. Advanced knowledge of asset tracking software. Committed to providing accurate, effective advice to customers. Creative Business Analyst with broad-based background in highly competitive and dynamic organizations. Recognized as decisive leader and excellent team player. Committed to forming strong, productive teams. Qualified Business Intelligence Analyst versed in data mapping and user acceptance testing to solve complex problems in high-pressure environments. Activates strong analytical skills to investigate trends in large amounts of data and formulate conclusions based on findings. Excels at cultivating, managing and leveraging client relationships to foster extended engagements and business opportunities.

Working in different insurance remotes

Billing multiple insurances for payment

Account resolution

Teamwork participation

Open to new ideas

Working and assisting Management

MS Office expertise

Multitasking

Active listening

Troubleshooting

Teambuilding

Relationship building

Friendly, positive attitude

Computer skills

Microsoft Office

Children of Alabama Birmingham, AL,

AL

Referral Specialist

05/2021 - Current

Tracked referral request progress and resolved issues to maintain smooth processing.

Assisted patients by answering questions and providing information regarding referrals.

Entered confidential patient information and updated electronic records in database.

Managed and obtained insurance authorizations for patient referrals from physicians.

Contacted patients to confirm or reschedule appointments to minimize no-show appointments.

Aided clinical team to support administrative needs for clinical referrals. Coordinated referral orders for patients of [Type] provider. Gathered and verified insurance requirements to meet payer requirements. Obtained PA for services such as diagnostic imaging. Liaised with healthcare facility personnel, insurance representatives, physicians and vendors for smooth communication.

Communicated with insurance representatives to gather information and verify patient benefits to determine clearance for [Area of expertise] services.

Collected required signatures to initiate referral process. Worked closely with financial counselors to guide patients on financial Summary

Skills

Experience

CC

CAROLYN CHAFIN

carol.chafin43@gmail.com 205-***-**** Birmingham, AL 35215 Flexible and versatile Business Analyst specializing in developing innovative solutions to organizational problems. Advanced knowledge of asset tracking software. Committed to providing accurate, effective advice to customers. Creative Business Analyst with broad-based background in highly competitive and dynamic organizations. Recognized as decisive leader and excellent team player. Committed to forming strong, productive teams. Qualified Business Intelligence Analyst versed in data mapping and user acceptance testing to solve complex problems in high-pressure environments. Activates strong analytical skills to investigate trends in large amounts of data and formulate conclusions based on findings. Excels at cultivating, managing and leveraging client relationships to foster extended engagements and business opportunities.

Working in different insurance remotes

Billing multiple insurances for payment

Account resolution

Teamwork participation

Open to new ideas

Working and assisting Management

MS Office expertise

Multitasking

Active listening

Troubleshooting

Teambuilding

Relationship building

Friendly, positive attitude

Computer skills

Microsoft Office

Children of Alabama Birmingham, AL,

AL

Referral Specialist

05/2021 - Current

Tracked referral request progress and resolved issues to maintain smooth processing.

Assisted patients by answering questions and providing information regarding referrals.

Entered confidential patient information and updated electronic records in database.

Managed and obtained insurance authorizations for patient referrals from physicians.

Contacted patients to confirm or reschedule appointments to minimize no-show appointments.

Aided clinical team to support administrative needs for clinical referrals. Coordinated referral orders for patients of [Type] provider. Gathered and verified insurance requirements to meet payer requirements. Obtained PA for services such as diagnostic imaging. Liaised with healthcare facility personnel, insurance representatives, physicians and vendors for smooth communication.

Communicated with insurance representatives to gather information and verify patient benefits to determine clearance for [Area of expertise] services.

Collected required signatures to initiate referral process. Worked closely with financial counselors to guide patients on financial Summary

Skills

Experience

obligations and decision-making.

Scheduled patients according to availability, urgency and insurance authorization guidelines.

Managed up to [Number] patient referrals daily through multi-line telephone system.

Verified documents and associated records to catch and resolve discrepancies.

Developed productive working relationships with numerous insurance company representatives.

Collected and analyzed referral data and tallied number of referrals. Prepared reports to provide responses to specific problems. Answered questions and resolved concerns raised by both patients and specialists.

Identified and resolved inconsistencies in patient responses by means of appropriate questioning or explanation.

Prioritized referrals according to urgency and adhered to appropriate referral deadlines.

Compiled, recorded, or coded data from referrals or surveys using computer or specified form.

Reviewed demographic, clinical and insurance information before sending to referred specialists.

Reviewed data obtained from referring physicians for completeness and accuracy.

Reviewed referral details and expectations with providers and patients and requested new referrals when necessary.

Performed additional office duties, handling patient service inquiries and receiving payments.

Assisted referred patients in filling out applications and insurance forms. Children Hospital of Alabama

Birmingham, AL

Business Analyst

04/2016 - Current

I posted payments for patient, All insurance and online payments. Scrub medical claims for over 5 doctors each doctor are very high volume Post Blue Cross an Medicaid remittance

Post Paper remittances manually

Work patient credits

Counseling patient about balances an making payments arrangement Consulting private patient how to get Medicaid.

Balancing end of day clinic money

Scheduling patient for sick, well visit.

Time Management

Leadership

Teamwork is vital to the success

Multi-tasking aided in Communication about different aspects that came from the call center an Front desk

Organization skills help stressful situations

Interpreting Skills aid in conflict resolution

Identified and analyzed user requirements, procedures and processes to develop optimization strategies.

Recommended improvements to existing or proposed systems to enhance solution functionality.

Sales Assosciate Birmingham, AL

New York & Company

Customer service

Patience

04/2015 - 04/2016 Attention to detail

Resolution skills

Conflict solving

Montclair Hospital Medical Center

Birmingham, AL

Insurance Verification Specialist

05/2004 - 09/2009

Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.

Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.

Updated patient and insurance data and input changes into company computer system.

Checked documentation for appropriate coding, catching errors and making revisions.

Instructed clients on amounts covered under benefits plans in easy-to- understand terminology.

Contacted patients to arrange payment arrangements for deductible and out-of-pocket liability.

Accessed third-party insurance databases to identify coverage of benefits. Contacted patients to confirm demographic information and communicate financial responsibilities.

Entered data in EMR database to record payer, authorization requirements and coverage limitations.

Retained strong medical terminology understanding in effort to better comprehend procedures.

Handled billing related activities focused on medical specialties. Performed verification of Medicare coverage.

Pulled patient files and forwarded to appropriate offices for processing. Jefferson Community College Birmingham, AL

Associate of Arts in Health Administration

09/1990

Bank's High Birmingham, AL

High School Diploma

06/1988

Education and Training

CC

CAROLYN CHAFIN

carol.chafin43@gmail.com 205-***-**** Birmingham, AL 35215 Flexible and versatile Business Analyst specializing in developing innovative solutions to organizational problems. Advanced knowledge of asset tracking software. Committed to providing accurate, effective advice to customers. Creative Business Analyst with broad-based background in highly competitive and dynamic organizations. Recognized as decisive leader and excellent team player. Committed to forming strong, productive teams. Qualified Business Intelligence Analyst versed in data mapping and user acceptance testing to solve complex problems in high-pressure environments. Activates strong analytical skills to investigate trends in large amounts of data and formulate conclusions based on findings. Excels at cultivating, managing and leveraging client relationships to foster extended engagements and business opportunities.

Working in different insurance remotes

Billing multiple insurances for payment

Account resolution

Teamwork participation

Open to new ideas

Working and assisting Management

MS Office expertise

Multitasking

Active listening

Troubleshooting

Teambuilding

Relationship building

Friendly, positive attitude

Computer skills

Microsoft Office

Children of Alabama Birmingham, AL,

AL

Referral Specialist

05/2021 - Current

Tracked referral request progress and resolved issues to maintain smooth processing.

Assisted patients by answering questions and providing information regarding referrals.

Entered confidential patient information and updated electronic records in database.

Managed and obtained insurance authorizations for patient referrals from physicians.

Contacted patients to confirm or reschedule appointments to minimize no-show appointments.

Aided clinical team to support administrative needs for clinical referrals. Coordinated referral orders for patients of [Type] provider. Gathered and verified insurance requirements to meet payer requirements. Obtained PA for services such as diagnostic imaging. Liaised with healthcare facility personnel, insurance representatives, physicians and vendors for smooth communication.

Communicated with insurance representatives to gather information and verify patient benefits to determine clearance for [Area of expertise] services.

Collected required signatures to initiate referral process. Worked closely with financial counselors to guide patients on financial Summary

Skills

Experience

obligations and decision-making.

Scheduled patients according to availability, urgency and insurance authorization guidelines.

Managed up to [Number] patient referrals daily through multi-line telephone system.

Verified documents and associated records to catch and resolve discrepancies.

Developed productive working relationships with numerous insurance company representatives.

Collected and analyzed referral data and tallied number of referrals. Prepared reports to provide responses to specific problems. Answered questions and resolved concerns raised by both patients and specialists.

Identified and resolved inconsistencies in patient responses by means of appropriate questioning or explanation.

Prioritized referrals according to urgency and adhered to appropriate referral deadlines.

Compiled, recorded, or coded data from referrals or surveys using computer or specified form.

Reviewed demographic, clinical and insurance information before sending to referred specialists.

Reviewed data obtained from referring physicians for completeness and accuracy.

Reviewed referral details and expectations with providers and patients and requested new referrals when necessary.

Performed additional office duties, handling patient service inquiries and receiving payments.

Assisted referred patients in filling out applications and insurance forms. Children Hospital of Alabama

Birmingham, AL

Business Analyst

04/2016 - Current

I posted payments for patient, All insurance and online payments. Scrub medical claims for over 5 doctors each doctor are very high volume Post Blue Cross an Medicaid remittance

Post Paper remittances manually

Work patient credits

Counseling patient about balances an making payments arrangement Consulting private patient how to get Medicaid.

Balancing end of day clinic money

Scheduling patient for sick, well visit.

Time Management

Leadership

Teamwork is vital to the success

Multi-tasking aided in Communication about different aspects that came from the call center an Front desk

Organization skills help stressful situations

Interpreting Skills aid in conflict resolution

Identified and analyzed user requirements, procedures and processes to develop optimization strategies.

Recommended improvements to existing or proposed systems to enhance solution functionality.

Sales Assosciate Birmingham, AL

New York & Company

Customer service

Patience

04/2015 - 04/2016 Attention to detail

Resolution skills

Conflict solving

Montclair Hospital Medical Center

Birmingham, AL

Insurance Verification Specialist

05/2004 - 09/2009

Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.

Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.

Updated patient and insurance data and input changes into company computer system.

Checked documentation for appropriate coding, catching errors and making revisions.

Instructed clients on amounts covered under benefits plans in easy-to- understand terminology.

Contacted patients to arrange payment arrangements for deductible and out-of-pocket liability.

Accessed third-party insurance databases to identify coverage of benefits. Contacted patients to confirm demographic information and communicate financial responsibilities.

Entered data in EMR database to record payer, authorization requirements and coverage limitations.

Retained strong medical terminology understanding in effort to better comprehend procedures.

Handled billing related activities focused on medical specialties. Performed verification of Medicare coverage.

Pulled patient files and forwarded to appropriate offices for processing. Jefferson Community College Birmingham, AL

Associate of Arts in Health Administration

09/1990

Bank's High Birmingham, AL

High School Diploma

06/1988

Education and Training

Contact this candidate