CANDICE C. BROOKS ad2dap@r.postjobfree.com 248-***-****

Director of Employment,

My name is Candice Brooks. Please accept this cover letter and resume as an overview of my qualifications in consideration for a position within your company. I obtained an Associate Degree in Applied Science from Oakland Community College with a concentration in Health Care Administration. I am a Certified Medical Business Specialist. I attended Davenport University (2009-2010) attempted to pursue a Bachelor’s in Science with a concentration in Nursing for a year (unfinished degree).

I am seeking a part-time evening position. I am a self-starter, motivated team player, detail oriented, flexible and reliable. I have exceptional customer service, time management, organization and communication skills.

In my prior years entering the workforce, I gained experience in customer service, retail, and as a cashier from Ponderosa, Target, Mervyn’s, and Sears. I was introduced to the medical field in 2004, working as a resident aide at Heartland of Troy and Sunrise Assisted Living. I also obtain managerial skills from working 6 months as an Office Manager of Molly Maid of Troy. As my resume describes, I have experience working in the front office for Barbara Ann Karmanos Cancer Center in the Radiation Oncology Department and in the Admissions Office of Surgeons Choice Medical Center (formerly known as Oakland Regional Hospital). I am currently employed as a Central Authorization Specialist in Revenue Cycle for Henry Ford Health Systems Business Corporate Office.

I have a strong clerical/ administrative background with the knowledge of Microsoft office applications, Epic, Cerner/EMR, CPT/ICD-10 coding, DRG's, benefits, insurance verification, authorization, surgical boarding, chart audit/charge entry, insurance billing and claim processing. Hard work has given me the opportunity to gain the necessary skills and qualifications to have strong business minded work ethic to function well as an individual and as a team member.

Please contact me at 248-***-****. If you like to arrange an interview. I look forward to hearing from you.

Sincerely,

Candice C. Brooks

Enclosure:

Resume

CANDICE C. BROOKS ad2dap@r.postjobfree.com 248-***-**** Oakland Community College Southfield, MI

Health Care Administration Graduated May 2015

Associates Degree- Applied Science Dean List Winter 2015 Oakland Community College Farmington Hills, MI

Culinary Arts April 2012

ServSafe Certification

Davenport University Warren, MI

Attempted Nursing 2009-2010

(unfished degree)

Carnegie Institute Troy, MI

Medical Business Specialist Graduated June 2007

Certificate

Medical Terminology EMG Billing Insurance verification Claim Processing Data Entry Typing

CPT/ ICD-10 Coding/DRG’s Athena Microsoft Office

Ipay WPS (Medicare Verification) Link

Web Denis Capstone Referral Indexing

Mosaiq CIS/ Cerner EMR Citrix

Champs (Medicaid Verification) AMO Med Assets

Surgical Boarding/Scheduling Chart Audit/ Charge Entry CPSI/Evident Registration Payment Processing Deductible collection Epic

Henry Ford Health System Corporate Business Office Troy, MI Corporate Revenue Cycle /Central Authorization Specialist 03/2020- Current

- Work remote utilizing appropriate communication & time management skills.

- Initiate and obtains authorizations to 3rd party payers for five specialties; Women's Health, BHS/Mental Health Services, Pediatrics, PHP (partial hospitalization) & Speech Therapy).

- Verify patients’ eligibility & benefits with 3rd party payers for upcoming scheduled appointments.

- Submit urgent buy and bill authorization request & verify pharmacy/ medical benefits for injectable medications; Makena, Lupron, Prolia, Synagis, & Depo Provera

- Submit urgent authorization request for Speech Therapy, PHP admits for scheduled length of stay & BHS for Neuropsych testing after intake or pre-auth interview with appropriate clinical documentation

-Initiate concurrent reviews & discharge with case managers for PHP depending on patient’s involvement in group sessions and mental progress.

-Verify with 3rd party payer’s authorization processing approval time for pediatric babies born with CLD, PHP admits and Speech Therapy patients.

- Correlate with RN’s, re: auth status, updates, non-covered services, & medications, discharge.

- Attends scheduled departmental meetings through Skype or Web Ex D.

- Communicate with upper management regarding work queue, authorization submission, status changes, system issues.

- Review clinical documentation, orders, CPT, ICD-10 and billing information in Epic.

-Address denied claims in the DnB, expiring & unscheduled work queue for billing re- submission.

- Maintain work flow accuracy by constantly monitoring and replying to incoming communication or signed orders for authorization request by emails, Skype/ Web EX-D messaging and in- basket. Surgeons Choice Medical Center Southfield, MI

Health Insurance Surgical Chart Auditing Specialist 07/ 2015- 03/2020

-Verified 3rd party insurances benefits including work comp, auto claims, obtains prior authorization for surgical procedures, EMG, and Presurgical testing.

-Assisted doctor while performing EMG’s and observe test, perform M/A duties; sanitize EMG equipment, room and exam table. Prep patients for EMG.

-Obtained demographic information to pre-register patients; Collect private pay fees and out of pocket cost, record and issue payments receipts to employees and patients.

-Audit charts from surgical procedures; maintain charge posting and ensure accurate accounting on patients bill by the revenue cycle, enter charges to be processed for billing & identifies discrepancies that hindered charge capture and audit process.

-Confirmed surgical instruments, supplies, manufacture codes and price using the item master, verify all supplies used during patients' surgical procedure making sure it correlates with the E-form documentation.

-Performed Surgical Services duties, register, admit & discharge patients for surgery, EMG'S and pre- surgical testing; prepare surgical documents needed for surgery, assemble & dissemble surgical charts, wrote up surgical board, assist patients & communicate with charge nurse, assign patients to surgical bed, send surgery report to COO, release available surgery block times.

-Printed & record surgical boarding request, board surgeries, email surgeons with confirmation email of surgery cases. Register toxicology lab orders, admit and discharge lab patients; scan coordinating documents into patient EMR using Athena & CPSI.

-Traveled to other hospital locations when necessary. Barbara Ann Karmanos Cancer Center Detroit, MI

Patient Service Representative /Department of Radiation Oncology 12/2007-07/2015

-Opened front office of Radiation Dept; cross trained in several patient access departments.

-Queued patients in using Mosaiq and Capstone, performed administrative duties.

-Registered, verify patients chart demographics, activated and discharge patient's accounts for billing

-Created intercompany registrations and insured registrations were accurate.

-Obtained insurance cards, medical and demographic documents for registration.

-Submitted and obtain referrals & prior authorizations to insurance companies for patient's treatment.

-Verified patient's insurance coverage and benefits with third party payors; collect co-pays in Ipay.

-Addressed patients concerns regarding; hospital policies, billing procedures and copays.

-Utilized Microsoft office, verify BCBSM using Web Denis, knowledgeable of other insurance companies.

-Input ICD-9 and CPT codes, documented charts in Mosaiq, insured patient quality and satisfaction.

-Scheduled appointments throughout Detroit Medical Center and Karmanos Cancer Center.

-Scanned and imported patients' demographic information other related documents into CIS/EMR.

-Correlated with financial services to help patients without medical coverage to complete an application for assistance or making payment arrangements/

-Correlated with ancillary departments for scheduling patients MRI, PET, Cat Scans and Mammograms.

-Maintained professionalism and awarded for excellent customer service in 2009, 2012 && 2013.

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