Customer Service Advocate
Resume:
Dawonna Anderson
Decatur, GA *****
***************@*****.***
Summary
A highly organized Healthcare Professional with extensive experience in Healthcare Administration. Proficient in executing complex tasks related to claims processing, adherence to HIPAA guidelines, prior authorizations, and insurance verification. Demonstrates exceptional ability in swiftly resolving disputes and addressing patient inquiries, upholding a rigorous commitment to confidentiality and adherence to corporate policies.
Professional Experience
Patient Service Coordinator II
Radiant Health – Nov 2022 – Present
• Manage cross-functional communication processes for internal updates and operational improvements, ensuring efficient coordination between departments.
• Oversee the collection, organization, and management of patient data for claims processing and operational accuracy, supporting ongoing project goals.
• Implement project management techniques to ensure timely completion of internal and external requests, improving operational efficiency.
• Conduct claims research and resolve denials, enhancing accuracy in billing and patient satisfaction.
• Support compliance with healthcare regulations and internal operational procedures, ensuring strict adherence to HIPAA.
Patient Service Coordinator
Radiant Health – Feb 2017 – Oct 2022
• Coordinated internal operations for patient data management, ensuring that processes complied with organizational standards.
• Managed cross-department communication, ensuring the accurate transfer of information across teams for billing, claims, and insurance verification.
• Trained staff in best practices for HIPAA compliance and organizational data management, enhancing overall department effectiveness.
• Played a key role in operational improvement initiatives by providing feedback on internal processes.
Medical Office Specialist
Boutte Contour Surgery & Dermatology – Dec 2013 – Dec 2016
• Managed the compilation and accuracy of patient data in the electronic health records system, optimizing internal operations for claims and billing processes.
• Addressed incoming billing inquiries and facilitated the resolution of patient data issues, improving customer satisfaction and departmental workflow.
• Led operational tasks, including data entry, claims processing, and insurance verification. Transplant Coordinator
Emory Healthcare – Sep 2000 – Nov 2013
• Coordinated cross-functional tasks between healthcare providers, insurance companies, and patients to ensure compliance with billing and insurance processes.
• Managed the flow of patient information for transplant procedures, facilitating smooth operations across departments and external partners.
• Collaborated with leadership to implement process improvements in billing and claims management.
Skills
• Prior Authorization Management
• Insurance Verification & Reimbursement Compliance
• Patient Information Management & EMR
• HIPAA Compliance
• Medical Coding (ICD-10 & CPT)
• Process Improvement & Quality Compliance
• Microsoft Office Suite (Word, Excel, PowerPoint)
• Strong Communication & Interpersonal Skills
• Attention to Detail & Organizational Skills
• Dynamic & Fast-Paced Work Environment Adaptability Education
High School Diploma
Alonzo A Crim High School – Decatur, GA
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