Customer Service Prior Authorization

Shana Floyd

*** * **** **.

Montgomery, AL *****

334-***-****

PROFILE

I have been working in the medical insurance field for almost 30 years. I am looking for a position to allow growth and increase my knowledge and experience. EXPERIENCE

Claims Analyst-Holloway Credit Solutions-Montgomery, AL — May 15, 2017-Present We are contracted with hospitals to review claims for issues and correct for refiling. I also help the patient with any appeals or questions for their claim to be paid. Patient Registration-Oral and Maxillofacial Surgery-Montgomery, AL — 2013-2017 I worked with patient insurance to get surgeries approved. I registered the patients for procedures and reviewed their cost with them.

Dental Prior Authorization Specialist- EDS-Montgomery, AL — 2005-2013 This company contracted to the state of Alabama to process Medicaid claims. I worked with the Medicaid agency to construct the prior authorization process for dental providers. I worked closely with the providers and was the liaison to the agency. EDUCATION

I graduated Russellville High School in 1989

I have 2 years of Business school at the Huntsville Business Institute for medical transcription

SKILLS

I have worked many billing programs and understand HIPAA requirements and importance. I have switchboard and multi-line phone experience.