Front Desk Authorization Specialist

Misty LeRoy-Staton

Spring, TX *****

**********@*****.*** 832-***-****

PROFESSIONAL SUMMARY Conscientious Healthcare Profession with 20 + plus years of experience in fast-paced settings. Competent in dealing with Insurance companies, verifying all aspects of patient appointments, ensuring all forms or payment has been communicated to patients as well as internally and providing exemplary customer service. I am passionate, resourceful, adaptable and a goal-oriented professional with good decision-making and communication skills. Experience

Center for Digestive Disease - Shenandoah, Texas April 2022 - August 2022 Insurance Verification and Financial Counselor (Contract position)

Verify daily patient appointments, communicated all co-pays, deductibles, to patients and co- workers. Adhere to all rules and regulations of the insurance companies and the hospitals.

Update and collect any co-pays, deductible to the patient prior to surgery.

Support the front desk with answering the phone, collecting co-pay/co-insurance, and setting daily appointment, follow-up appointments.

Dr. Denise Leonard, OBGYN - Houston, TX November 2020 - April 2022 Verify Insurance Authorization Specialist

Verify daily patient appointments, communicated all co-pays, deductibles, to patients and co- workers.

Schedule all Dr. surgeries with the hospitals, patient, and the assist surgical nurses.

Verify insurance obtain authorization and communicate with the patients.

Adhere to all rules and regulations of the insurance companies and the hospitals.

Update and collect any co-pays, deductible to the patient prior to surgery.

Support the front desk with answering the phone, setting daily appointment. COMFORT CARE Intake Coordinator - Houston, TX November 2015 to November 2020 MEDICAL SUPPLIES/Intake Coordinator

Manage the entire intake process to include receipt of initial referral, verifying benefits, obtaining initial authorization, inputting in the system, follow up with referral and/or payer source to insure admit is preformed within the Company guidelines.

Scheduling of all disciplines to include the initial start of care and input all frequencies.

Managed and maintained all recertification’s regarding authorizations in a timely manner.

Create all patients charts and maintain.

Adhere to all HIPPA laws and guidelines accordingly. BELL TECH ENTERPRISES-HOME HEALTHCARE - Houston, TX June 2015 - November 2015 Intake Coordinator (Contract Position)

A & T MULTI-HEALTHCARE SERVICES - Houston, TX June 2014 - January 2015 Intake Coordinator

Greeted and provided exemplary customer service to visitors, VIPs, and vendors.

Manage the entire intake process to include receipt of initial referral, verifying benefits, obtaining initial authorization, inputting in the system, follow up with referral and/or payor source to insure admit in preformed within the Company guidelines.

Create all patients charts and maintain.

Adhere to all HIPPA laws and guidelines accordingly. Peninsula Recovery Center – San Pedro, CA March 2004 - December 2013 Intake Specialist (November 2006 – December 2013)

Verify and obtain initial authorization of insurance benefits.

DSM-IV compliant intake assessment

Milieu Counselor (March 2004 – November 2006)

Supervision and JCAHO compliant documentation of daily activities and client care.

DSM-IV compliant intake assessment. Complete intake documentation, and client orientation.

Complete psychosocial and treatment plans

SHAWL House - San Pedro, CA March 2000 to August 2004 Outreach Representative (March 2003 – August 2004)

Assess client needs and develop goals for program completion.

Interviewing prospective clients, interventions with clients in crisis.

Liaison between courts, probation, schools and welfare.

Write letters of behalf of client for courts, probation, mental health, and school.

Supervision of, and transport to/from courts, probation, welfare office.

Assist women and men in treatment, detoxification and or sober living environments.

Assist with presentations at other facilities.

Passed out hygiene kits to the still active population in and around Harbor Area. Case Manager (August 2003 – January 2004)

Interviewing prospective clients, intervention with clients in crisis.

Supervision and documentation of daily client actives and client care.

Teach working knowledge and understanding of the 12-steps of recovery.

Assist clients in obtaining general relief and food stamps. Night Manager (January 2001 to December 2003)

Support Services (March 2000 to March 2001)

Ensuring the incomplete documentation forms were completed per insurance request, by re- faxing, calling nurse and or case managers.

Responsible for triaging all mail that came to the clinic. Group Facilitation

Relapse Prevention, Early Recovery Skills, 12-Step Studies, Process

Secretarial services on behalf of clients for courts, probation, mental health, school, etc. Education

Cal State University - Torrance, CA

Medical Billing & Coding - June 2011 to October 2012

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