ANGELICA ADKINS
Dudley
Summary
Personable and diligent professional with knack for managing administrative tasks and navigating complex systems. Familiar with healthcare terminology and proficient in data entry and customer service. Committed to ensuring efficient authorization processes and contributing to overall success of team.
Overview
4
4
years of professional experience
Work History
Consumer Access Specialist
Advent Health
Daytona Beach, Florida
03.2023 - Current
- Reviewed denials and appeals from members and providers ensuring accuracy of decisions based on policy provisions.
- Maintained communication with providers regarding authorization status, changes in coverage or other pertinent issues.
- Assessed clinical information to determine appropriateness of requested care, taking into consideration the patient’s medical history, diagnosis and current condition.
- Conducted retrospective reviews on a variety of cases including hospitalizations, outpatient surgeries and specialty services.
- Researched professional literature regarding best practices pertaining to utilization management activities.
- Demonstrated strong customer service skills when communicating with internal and external customers.
- Performed pre-authorization reviews for medical services and equipment in accordance with established policies, procedures and criteria.
Office Assistant/Billing Specialist
Advent Health
Daytona Beach, Florida
05.2022 - 03.2023
- Answered incoming calls promptly and professionally; took messages or transferred calls to appropriate personnel.
- Performed data entry tasks with accuracy and speed utilizing MS Office applications such as Word, Excel, PowerPoint.
- Organized and maintained filing systems to ensure efficient document retrieval.
- Supported staff by performing data entry and completing administrative duties.
- Interacted with clients to resolve issues or answer questions regarding services rendered by company.
- Scheduled appointments, maintaining calendars for personnel.
- Maintained accurate records of office supplies and placed orders as needed.
- Prepared invoices for payment processing and tracked accounts receivable and payable activities.
Education
Associates - Medical Billing and Coding Specialis
Home School
Fort Collins, CO03-2022
Bachelor of Science (B.S.) - Nursing
Union Christian College
Philippines03-2010
Skills
- Communication skills
- Medical Terminology
- Insurance Verification
- Maintaining records
- HIPAA compliance
- Clinical documentation
- Patient confidentiality
- Assertiveness
Timeline
Consumer Access Specialist
Advent Health
03.2023 - Current
Office Assistant/Billing Specialist
Advent Health
05.2022 - 03.2023
Bachelor of Science (B.S.) - Nursing
Union Christian College
Associates - Medical Billing and Coding Specialis
Home School