Ticora Adams
Wynnewood,PA
Overview
9
9
years of professional experience
Work History
Pre-Registration Specialist II & III
Penn Medicine
09.2020 - Current
- Manage approximately 15-20 cases per day
- Contacts insurance carrier and/or reimbursement sources via telephone and/or electronic tools to obtain authorization for services rendered
- Provides required clinical and demographic information to payer to obtain the proper authorization/pre-certification for the services being rendered
- Identifies potential quality and utilization concerns and refers to Management when appropriate and will follow-up with actions as indicated
- Meets on a regular basis with Management and communicates clearly the progress and status of all assigned functions and assists in projects for the department to enhance patient care and quality assurance
- Exercises complete patient confidentiality in all dealings with patient information and demonstrates an awareness of patient/employee safety when carrying out daily responsibilities of their position
- Trace and resolve a problem with insurance companies that is hindering patients from receiving treatment.
Accounts Receivable Specialist
Excel Physical Therapy
09.2018 - 09.2020
- Timely submission of professional medical claims to insurance companies
- Timely follow up on unpaid and/or unaddressed claims
- Thorough understanding of insurance benefits
- Manage multiple tasks and re-prioritize tasks
- Proficient in computer skills, i.e, EMR.
Insurance Verification Specialist
Excel Physical Therapy
01.2018 - 09.2018
- Managing and tracking insurance authorizations
- Investigation and verification of patient demographic and insurance information
- Heavy phone work and customer service, knowledge
- Verify patient's insurance and make any necessary changes in the billing system to prepare charge for electronic submission.
Patient Service Representative
Excel Physical Therapy
08.2016 - 01.2018
- Facilitated daily administrative functions including customer service, patient scheduling, and inventory management
- Coordinate therapists schedules and maintain patient flow by communicating patient arrivals and delays
- Managing a multi phone line
- Performed the tasks of receiving and distributing mail and faxes on a daily basis
- Greet and check-in patients; dealing with inquiries from the public and from customers
- Managing and tracking insurance authorizations on a daily basis to ensure coverage for all patients
- Learning a new system in order to effectively track metrics.
Social Media Specialist
Clothes Mentor
02.2016 - 12.2016
- Implement the organization’s social media activities
- Generate, edit, publish, and share daily content that builds meaningful connections and encourages community members to take action
- Directly engage with audience in a variety of social media channels
- Collaborate with sellers and merchandisers to increase the visibility of the company’s social content
- Make sure all content is in line with the target market.
Buyer/Merchandiser
Clothes Mentor
01.2016 - 08.2016
- Analyzing consumer buying patterns
- Determine how much product should be bought based on demand
- Research, identify, and track trends in consumer consumption to determine which merchandise should be bought
- Acquiring suitable goods at competitive prices through careful purchasing
- Drive brand and maximize profitability by enhancing the aesthetic appeal of the store
- Create appealing and eye-catching merchandise displays that lead the customer through the entire store.
Education
Bachelor of Arts - Business & Economics
Ursinus College
Collegeville, PA12.2013
Skills
- Customer Relations
- Expert Problem Solving
- Documentation Management
- Project Management
- Microsoft Office
- Teams
Timeline
Pre-Registration Specialist II & III
Penn Medicine
09.2020 - Current
Accounts Receivable Specialist
Excel Physical Therapy
09.2018 - 09.2020
Insurance Verification Specialist
Excel Physical Therapy
01.2018 - 09.2018
Patient Service Representative
Excel Physical Therapy
08.2016 - 01.2018
Social Media Specialist
Clothes Mentor
02.2016 - 12.2016
Buyer/Merchandiser
Clothes Mentor
01.2016 - 08.2016
Bachelor of Arts - Business & Economics
Ursinus College
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