2016
BS INFORMATION TECHNOLOGY
Datamex Institute of Computer Technology
More Info About Me
With a diverse and extensive background in customer service and healthcare administration, I bring a unique blend of skills and experiences to the table. My career has encompassed various roles, each contributing to my expertise in customer relations, data management, and healthcare operations. Alongside these core competencies, I excel in active listening, communication, time management, flexibility, attention to detail, and adaptability. These qualities make me a highly valuable asset in any professional setting, ready to drive success and deliver exceptional results.
My Skills and Competencies
time management
adaptability
Attention to Detail
Certificates
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My Experience and Education
2021
-
2024
OPTUM -Revenue Cycle Management
(Billing Specialist)
● Billing Home Infusion for BCBS MI and BCBS FL under Carecentrix
● I specifically process Nursing visits, Antibiotics, Steroid, Enzyme, IVIG, SCIG,
Biological Therapy, TNF BLK
2020
-
2021
Tahche Outsourcing Services
(Prior Authorization Specialist)
● Obtain Prior Authorization for Diagnostic Imaging
● Calling the Dr’s office and Patient for the status of the request.
● Checking the daily status of requests through the portal or by calling insurance.
2018
-
2020
OPTUM
(Case Manager Assistant)
● Data entry for e-faxes received
● Claims are for MRI, CT scan, PT Therapy, Chiro Therapy, X-ray, Surgery, ketamine
infusion, and DME for Auto Insurance
● Outbound calls to the provider’s office/facilities for any lacking documents needed
My Services
Prior Authorization
Obtain prior authorization either by calling the insurance company or through web portals
Medical Billing
Process claims
Patient Scheduling
Schedule patients for their appointment
Manage Patient Information
Update patient information using CRM