Professional Profile

Career Objective: Seeking a challenging position where my experience will contribute extensively in an organization.

Personal Profile: I am hard working and very determined. I enjoy keeping myself busy and put extra effort in my tasks. I enjoy working as a team as well as independently. I have excellent communication skills and telephone etiquette. I believe my customer service skills and prior experience would help your company boost customer satisfaction.

Skills Summary:

Computer-literate performer with extensive software proficiency covering wide variety of applications and medical software including Centricity, Horizon, and EPIC.

Resourceful collaborator who excels at building trusting relationships with customers and colleagues Confident, diligent employee who is committed to achieving excellence.

Able to work with minimal supervision Able to multitask.

Professional Experience

Insurance Representative

Employer: Professional Credit Services DBA Ensource

Location: Springfield, Oregon

Dates Employed: 7/2020-7/2021

Contracted out to medical facilities both in and out of state to research and work denied claims for collecting payment. Filed appeals, requested retroactive authorizations, researched missing payments. Contacted patients with surgery estimates and collected deposits from patients

Patient Access Representative

Employer: Sacred Heart Peace Health / Home Health

Location: Eugene, Oregon

Dates Employed: 2/2016-12/28/2019

Registered patients, requested authorizations, verified insurance benefits, and prepared charts for clinicians. Worked closely with the staffers to insure they have the clinician’s packets and they are accurate. Obtained medical records for clinicians Called patients to verify their information and advised them of their benefits

MMS1 / Referral Coordinator

Employer: Office Team / Trillium Community Health Plan

Temporary Position

Location: Eugene, Oregon

Dates Employed: 5/2015-11/2015

Processed referrals/authorizations for Trillium Health Plan members Obtained medical records and referrals for Reviewers. Notified Medicare members of their authorization status. Proficient in line finder to pair diagnosis codes with procedure codes. Ability to approved referrals. Responsible for meeting Medicare and Medicaid timelines.

Referral/Authorization Specialist

Employer: Willamette Pain and Spine Center

Location: West Linn, Oregon

Dates Employed: 5/2012-12/2013

Obtained referrals from primary care providers; obtained authorizations for injections, procedures and diagnostic imaging. Scheduled outpatient permanent Spinal Cord Implants, scheduled in office Spinal Cord Implant Trials. Communicated with patients regarding scheduling, patient cost, pre-operative procedures and order lab work. Patient registration, verified insurance, including eligibility and benefits. Obtained insurance information and reviewed medical policies for injections and procedures. Assisted providers with hospital privileges and arranging meetings. Assisted with billing, answer telephones and scheduled appointments. Estimated patient’s out of pocket cost for injections, procedures and office visits. Backed up reception when needed along with patient registration.

Referral Specialist/Revenue Cycle Specialist

Employer: Firwood Medical Center, PC (nka Legacy Health Systems)

Location: Sandy, Oregon

Dates Employed: 3/1999-9/2011

Financial management of patient accounts. Coded insurance forms to be sent out to insurance companies for billing. Obtained referrals and authorizations for patients to see specialists and high-end diagnostics. Assisted in answering billing questions. Arranged payment plans with patients. Answered phones, maintained reports so patient/documentation correlates with daily production and patient medical records. Maintained worker's compensation files, forms, 827 and kept in contact with worker's compensation companies, Maintained motor vehicle claims, forms and communicated with adjusters. Compliance with medical records subpoenas. Scheduled follow up visits for patients Reconciled cash drawer and prepared monies for deposit.

School

METROPOLITON BUSINESS COLLEGE, PORT ORCHARD, WA-Certificate in Medical Office Administration

NORTH EUGENE HIGH SCHOOL, EUGENE, OR –Diploma

Volunteer

I volunteer for several animal rescues in Oregon and Washington. I enjoy spending my free time transporting, interviewing potential adopters, preforming home checks and assisting with adoption events. My Saturdays are more often than not spent transporting dogs to safety in Oregon and Washington from high kill California. I enjoy bringing them up and knowing they will be safe with a new life ahead of them.

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