Summary
Overview
Work History
Education
Skills
Timeline
Generic

Wanda Hollandsworth

Acworth

Summary

Front Office Specialist

Diligent insurance precertification specialist with strong background in coordinating and managing precertification processes. Successfully facilitated seamless insurance approvals and demonstrated knack for meticulous documentation. Collaborate effectively with medical professionals and insurance providers.

Overview

25
25
years of professional experience

Work History

Insurance Precertification Specialist

Pinnacle Orthopaedics & Sports Medicine Specialists
04.2022 - Current

Verify patients eligibility and benefits for physical and occupational therapy. Initiates precertification for rehab therapy to include conducting follow ups with the insurance companies, ensuring timely receipt of authorization numbers for approved services. Prepping charts for upcoming visits that includes checking that authorizations are valid and the number of approved visits are available.

Insurance/Billing Specialist

Marietta Plastic Surgery
07.2002 - 03.2022
  • Verify patients’ eligibility and benefits to include precertification and predetermination reviews
  • Back up surgery scheduler to include breast reconstruction for breast cancer, breast reduction, blepharoplasty and other oculoplastic procedures, wound closure
  • Schedule patient office consults for breast reductions and minor local excision procedures
  • Coordinate coding and billing activities on behalf of 2 providers to include filing claims electronically, downloading remits from our clearinghouse to patient’s accounts, sending out billing statements, posting patient payments from the mail or over the phone

Centralized Scheduler

Wellstar Windy Hill Hospital
01.2000 - 01.2002
  • Scheduled all radiology imaging procedures for all the Wellstar locations, to include mammography, ultrasound, CT, MRI, nuclear medicine

Education

Continuing Education - Phlebotomy, medical terminology, transcription

Medix School
Marietta, Ga
01.1997

Continuing Education - Phlebotomy

Middle Georgia Technical College
Warner Robins, Ga
01.1994

Skills

  • Basic computer skills, EClinical Works scheduling system, Nextech scheduling system, Trizetto clearinghouse software,
  • HIPAA compliance awareness
  • Patient confidentiality adherence
  • Prior authorization
  • Insurance verification
  • Multitasking Abilities
  • Attention to detail
  • Teamwork
  • Self motivation
  • Medical terminology
  • Appointment scheduling
  • Medical billing

Timeline

Insurance Precertification Specialist

Pinnacle Orthopaedics & Sports Medicine Specialists
04.2022 - Current

Insurance/Billing Specialist

Marietta Plastic Surgery
07.2002 - 03.2022

Centralized Scheduler

Wellstar Windy Hill Hospital
01.2000 - 01.2002

Continuing Education - Phlebotomy

Middle Georgia Technical College

Continuing Education - Phlebotomy, medical terminology, transcription

Medix School
Wanda Hollandsworth