Authorization Representative Service
Resume:
Brittany Henderson
Youngsville, LA *****
***********@*****.***
Customer service oriented professional with healthcare industry and administrative experience. Able to coordinate workflows and communicate effectively with co-workers, patients, and staff. Follows policies, procedures, and guidelines to ensure quality. Maintains and safeguards patient privacy and confidentiality.
· Manages time and priorities in multitask environments.
· Strong written and verbal communication skills.
· Microsoft Office Applications - MS Excel, MS Word, MS PowerPoint; 10-Key Data Entry; Typing Speed: 35 WPM.
Healthcare Ethics HIPAA Compliance Accounting Payroll Appointment Scheduling Insurance Billing Procedures
Insurance Claim Cycle Medical Terminology Human Resource Management Organizational Improvements Interpersonal Professional Communications Willing to relocate to: Houston, TX - Dallas, TX - Atlanta, GA Authorized to work in the US for any employer
Work Experience
Prior Authorization Representative
Molina Healthcare Inc - Dallas, TX
August 2022 to Present
Taking inbound calls for providers offices and facilities getting members information to check authorizations, Peer to Peer requests and also checking the status of a particular CPT code is needed Customer Service Representative
Molina Healthcare - Dallas, TX
January 2021 to Present
Taking inbound calls for Molina Healthcare currently take calls for member services for Medicaid dealing with Billing, New ID card requests updating members personal information, verifying Legibility, Open Enrollment, Changing members PCP
Order Processor – Remote
Waitr - Lafayette, LA
December 2021 to March 2022
· Receive and process orders that through a database.
· Call customers to resolve any issues they were having with their orders.
· Refund customers when their orders were out of stock. Home Health Aide
New Day Personal Care Services (PCS) - Lafayette, LA January 2020 to November 2020
· Provide in-home care and assist with activities of daily living such as bathing and dressing.
· Keep household clean and organized, run errands, and prepare and serve meals.
· Transport to and from locations, respect patient privacy, and maintain confidentiality. Customer Service Representative - Call Center
Work Solutions - Lafayette, LA
January 2018 to September 2020
· Scheduled appointments for tours of elderly home facilities for future patients and their families.
· Assisted families with finding nursing homes that fit the needs of their loved ones.
· Multitasked with various operating systems to provide the best options to each inquiry. Caregiver
Immaculate Heart of Mary PCS, LLC. - Melville, LA
November 2017 to January 2020
· Took vital signs and documented information manually and electronically.
· Ensured that residents and families received the highest quality of service.
· Maintained confidentiality and HIPAA compliance. Receptionist / Customer Service
Henderson Seafood - Gibson, LA
June 2015 to June 2019
· Maintain a steady workflow and gather detailed information regarding customer orders and inquiries.
· Answer inbound phone calls and collect payments and deposits from customers and merchants.
· Provide exemplary customer service to those who come to dine in the physical facility. Customer Service Representative
West at Home Telecommunication - United States
April 2011 to September 2017
Taking inbound calls for HSN, accessing members accounts, processing orders once members provides order number, Paying Bill online, updating payment information Receptionist / Retail Sales Representative / Customer Service B & B Fashions - Houma, LA
September 2011 to September 2015
· Operated register to collect payments, monitored inventory, and placed orders when needed.
· Greeted customers in a friendly manner, answered questions, and directed individuals to desired items.
· Worked as a team member to ensure customers received the best possible service. Education
Associate of Science degree in Management
Ultimate Medical Academy
2021
High school diploma
Ellender Memorial High School - Houma, LA
August 2006 to May 2010
Skills
• Healthcare Ethics
• HIPAA Compliance
• Accounting
• Payroll
• Appointment Scheduling
• Insurance Billing Procedures Insurance Claim Cycle
• Medical Terminology
• Human Resource Management Organizational Improvements
• Interpersonal Professional Communications
• Identity & access management
• PTSD Care
• Microsoft Outlook
• Medical billing
• Outbound sales
• Cold calling
• Citrix
• Medical billing
• DME
• Medical documentation
• Clinical pharmacy experience
• Salesforce
• 10 Key Data Entry
• Medical Scheduling
• Insurance Verification
• Medical Coding
• EMR Systems
• Medical Records
• Operating Systems
• Home Care
• Management
• Benefits Administration
• Medical Office Experience
• ICD-10
• Help Desk
• Office Management
• Epic
• CPT Coding
• Active Directory
• Transcription
Languages
• English - Expert
Awards
Qa evaluation
June 2022
QA scores was at least 98% for the month of June received a bonus on my paycheck Certifications and Licenses
CPR Certification
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