VERNESSA V. GRANT
CAREER OBJECTIVE
To obtain a position within the health care industry that will benefit from my professional administrative experience which includes case management of worker's compensation, medical billing & claims processing, and CPT Coding skills to ultimately qualify me for advancement and increased decision-making responsibilities.
EDUCATION
KAPLAN UNIVERSITY DAVENPORT UNIVERSITY
Bachelor of Science Degree Associates Degree
Health Care Management Business Administration/Medical Billing Administration
Expected Graduation: Winter of 2010 Graduated: Summer of 2003
SKILLS PROFILE
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Medical Billing & Coding
Insurance Verification, Insurance Authorization, Administrative Assistant, Case Management
PROFESSIONAL EXPERIENCE
(During breaks of employment I was actively pursuing my educational goals)
UNIVERSITY OPTIONCARE, LLC 2007 - 2009
Insurance Verification Specialist/Case Manager
•Responsible for verifying Insurance coverage(s), obtaining referrals/authorizations for all outpatient services.
•Provided education and support to Billing Departments, Ambulatory Care Center staff, OSU Medical Staff and others.
•Obtained all referral/authorizations information and entered the appropriate referral information into I-Emphsys system.
•Make patient referral appointments, working directly with staff and physicians to facilitate claims process, and to resolve issues.
MEDCO HEALTH SOLUTIONS 2004 - 2007
Patient Care Representative
•Take inbound calls from patients, medical facilities, and insurance company regarding special care pharmacy drug orders.
•Provide written documentation to record appropriate doctor, patient and team member notes addressing each facet of implementation on every patient‘s case.
•Ensure that insurance verification is completed prior to givi...
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