Patient Authorizations and Insurance Specialist
Resume:
Forsythia Mason
**** ********* **, *****, ** ****3, 903-***-****
Objective
To obtain a position that will enable me to use my strong organizational skills, educational background, and ability to work well with others in the business community. I am very eager to learn new skills and procedures that will enhance my ability to perform any task that is given to me. Also to secure a position with a well-established organization with a stable environment that will lead to a lasting relationship.
Work Experience
UT Health, February 2025 -- Present
Referral Coordinator and Authorizations
Insurance Specialist, maintain authorizations
Works independently utilizing system-generated reports
Call patients to schedule New patient appointments
Christus Health, October 2019 – February 2025
Patient Account Senior Representative, Self-Pay and Deceased Charity
Processing daily financial assistance applications, including daily mail, emails and faxes
Sending requesting letters for additional information to patients
Bankruptcy and collections
Answering phones
Adjustments, refunds and daily deposits
Checking patients in/out and Insurance verification
Scheduling and confirming appointments
Submit electronic claims to Blue Cross Blue Shield
Submit corrected claims, reconsideration forms and medical records
Work AR reports, research denial codes, appeals
Gather information from registration coding and posting to correct and submit claims
Fax, email and/or mail claims
Speed of Light, May 2018 – October 2019
Insurance Verification Specialist
Verify all insurance payers, follow-up and research accounts for demographics
Must be able to communicate with an extremely highly level of customer service
Able to be a good problem solver and answer patient inquiries
Filing paperwork, print, mail fax and email correspondence
UT Health East Texas, November 2017 – May 2018
Self-Pay Representative
Responsible for patient account follow-up and use collection techniques to keep accounts from being delinquent
Must be able to communicate with an extremely high level of customer service
Ability to research accounts, answer patient inquiries and resolve issues
Research all demographics, insurance, billing issues, credits and refunds
Set up financial arrangements such as Long Term and WeCare Plans
Print, mail, fax, email correspondence, collect payments, resolve insurance and coding issues
Turn accounts over to Bad Debt agency, post payments and daily cash reconciliation reports
Collections, resolve insurance and coding issues
Dermatology Associates, September 2015 -- November 2017
Referral Coordinator – Scheduling and Insurance Verification
Scheduling and confirming referrals for all surrounding areas
Scheduling and confirming appointments and surgeries for new and established patients and follow-up
Research and work various reports
Collections
Precision Spine Care, January 2014 – August 2015
Medical Scheduler/Referral Coordinator
Referrals and medical records
Schedule appointments for MRI’s, X-rays and CT scans
Schedule nurse visits including medication and pump refills, injections and procedures
Collections
Aflac, June 2013—January 2014
Front Office
Collections and set up payment plans
Schedule Appointments and verify insurance
Filing and medical records
Centene Corporation, May 2012 – May 2013
Claims Analyst II
Processing medical claims for Texas, and Behavior Health claim for Mississippi and Missouri
Tyler Cardiovascular Consultants, March 2011--May 2012
Patient Account Representative
Answering incoming/outgoing calls, checking patients in/out, and scheduling
Refunds and collections
Insurance verification, authorizations and referrals
Bad debt accounts and turn accounts over to collections
Suddenlink, January 2008--October 2010
Account Services
Answering incoming calls to the call center and quickly and effectively solve customer challenges
Collect old account balances
Work with Equifax in running credit checks
Generate revenue for the company by selling cable, phone and internet
Create work orders for technical issues
Texas Spine and Joint Hospital, September 2006--November 2007
Insurance Specialist/Precertification -- Team Lead
Processed admission forms for all patients and schedule all appointments and procedures
Verified insurance benefits on all patients
Precertification and prepare medical orders for doctors
Collect payments from patients and back up to the receptionist
Education and References
Tyler Junior College Medical Office Management Graduated 2005, Tyler, TX
Paris Junior College Word Information Systems Graduated 1991, Paris, TX
Paris High School diploma Graduated 1989, Paris, TX
Software used: Centrix, Nextgen, Epic, Meditech Trace, Leading Reach, Zephyr and Vision
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