Scheduling Coordinator Benefits Specialist

PRINCELLA ALLGOOD

**** ******* ****** ***** ********, Tennessee 37421

Phone 423-***-****

****************@*****.***

Objective

Highly focused and dependable person with a proven record of accuracy and professionalism. Adept at completing multiple tasks simultaneous in a high-pressure fast-paced environment. Strong working knowledge of medical terminology, strong team leadership and a consummate professional.

Education

Chattanooga State Technical Community College

Health Information Management

Professional Experience

CHI Memorial Hospital Multiple positions 2002 to Present Chattanooga, TN 37406

Memorial Regional Sleep Center 2019 to Present

Scheduler/

Obtain Precertification and insurance verification prior to all patients being tested

Schedule Home Sleep Apnea Testing (HSAT), oximeter testing and practitioner appointments

Notify referring practice of appointment dates and times

Reschedule patients as needed to assure schedules remain full.

Memorial Urology Associates 2018 to 2019 Referral and Patient Account Representative

Review and Process doctors’ orders for tests and referrals

Ensure and assist patient referral needs are obtained for tests and/or specialty service office visits

Obtain authorizations and precertification for patients ensuring timely reimbursements

Adjust patient accounts, process claims and close accounts

Mountain Management/Referral 2016 to 2018 (Memorial Partners)

Specialist Team Lead

Responsible for training of new specialist

Utilized system tools designed to facilitate the referral process ensuring timely scheduling of patient appointments including specialty clinics

Increased clinical and operational processes which would positively impact patient safety and quality

Harrison Medical Center 2009 to 2016 (Memorial Partners)

Office lead/ Scheduling Coordinator

Lead person in office manager absents.

Schedule patient appointments and reminders and assist with physician messages

Multi-task inbound and outbound

Maintained and updated patient files and medical records

Memorial Hospital 2002 to 2009

Medicare Biller/ Medicare Patient follow-up

Responsible for follow up and billing of Commercial and various government funded insurance companies including Medicare, Black Lung, and Veterans Administration

Reviewed patients’ accounts and reports for payments, adjustments and obtain pertinent information to complete and close the account.

Blue Cross Blue Shield of Tennessee 1993 to 2002 Chattanooga, TN 37402

Medicare Coordination of Benefits Specialist (COB) Eligibility Clerk

Selected to handle special Medicare Cob projects and reviewed applications for various aid programs for eligibility

Processed Cob claims and claims payment adjustments

Responsible for correspondence to providers and beneficiaries

Responsible for the investigation of possible Medicare secondary payer claims.

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