Insurance authorization specialist
Resume:
Cecilia Peoples
San Diego, CA. *****
Phone: 619-***-****
Email: ************@*****.***
OBJECTIVE:
To obtain a position within the healthcare industry that will utilize my overall skills set, while continuing to learn new tasks that will allow me to continue developing professionally.
WORK EXPERIENCE:
UCSD Medical Center - Insurance Authorization Coordinator/Patient Access
November 2008 - Present: UC San Diego Health - San Diego, CA
Responsibilities Include:
Obtain authorizations for procedures from various insurance companies.
Verifying eligibility via EPIC RTE and various health plan websites and/or calling the health plan.
Verifying all benefits and informing the patient of any out of pocket and/or liability cost to them for scheduled procedure/admission.
Updating Epic/Cadence with all pertinent billing and registration information so that the billing department can process a clean claim seamlessly.
Vase knowledge procedure codes (ICD10’s & CPT codes) that will take place for the patient.
Utilizing the tools EPIC has such as the R.T.A. (real time authorizations) add-on for auth submissions
Checking patients in for both out surgeries and admissions. Various administrative duties in the front office of admissions along with collections co-pays and payments.
Clinic/Procedure Scheduler, Insurance Coordinator, and Front Desk Support
July 2007 – November 2008: Dr. Deanna Risos and Dr. Pham - Chula Vista, CA
Responsibilities Include:
Schedule clinic appointments and procedures done by our Physicians.
Verifying eligibility via internet and/or calling the health plan.
Preparing and arranging daily schedules to make sure clinic is full and the doctor’s time is productive.
Assist in morning meetings along with office administrator.
New patient liaison, which included all initial forms completion and account creation in the Eaglesoft program.
Calling patients in regards to account collections.
Filing insurance basic and major claims electronically with the use of NEA (National Electronic Attachments).
SKILLS:
●Epic/Cadence proficient
●Epic Work queue proficient
●Epic super-user
●Microsoft Office
●Organized
●Detail Oriented
●Team Player
●Dependable
EDUCATION:
Dental Assistant School
July - September 2002, Excelle College – San Diego, CA
Certificates obtained in Ultrasonic Scaling, Coronal Polishing, Infection Control, and top of class in Radiation Safety
Criminal Law
August 1992 – June 1995, Grossmont College – El Cajon, CA
General Education in the criminal law field.
References available upon request
Contact this candidate