BRIDGET MATTOX
Upper Chichester
Summary
Compassionate, BLS-certified healthcare professional with over 10 years of experience in patient care, care coordination, and healthcare administration. Skilled in Epic EMR, insurance verification, prior authorizations, patient advocacy, and interdisciplinary collaboration. Recognized for building strong relationships with patients and healthcare teams while ensuring efficient, compassionate care.
Overview
1
1
Certification
7
7
years of post-secondary education
6
6
years of professional experience
Work History
Insurance Verification & Prior Authorization Specialist
Zoia Pharma / Pentec Health
10.2025 - Current
- Coordinate care among physicians, dietitians, hospitals, case managers, patients, and insurance providers to ensure timely treatment.
- Verify insurance eligibility and benefits for Medicare, Medicaid, and commercial health plans.
- Obtain prior authorizations by reviewing medical documentation, HCPCS codes, ICD-10 diagnoses, and payer policies.
- Prepare appeals, reconsiderations, and renewals to support timely patient care.
- Maintain HIPAA-compliant documentation in Epic EMR and insurance portals
Nursing Assistant
Penn Medicine - Chester County Hospital
12.2020 - 11.2025
- Provided compassionate care to adult and geriatric patients across multiple inpatient units.
- Monitored vital signs, blood glucose levels, intake/output, and changes in patient condition.
- Assisted patients with activities of daily living, including bathing, dressing, feeding, toileting, mobility, and transportation.
- Provided Foley catheter care, wound care, specimen collection, and infection prevention.
- Documented patient care in Epic EMR while collaborating with nurses, physicians, and multidisciplinary healthcare teams.
Medical Billing Specialist
Providence ENT
05.2020 - 11.2020
- Processed medical claims and investigated denied claims to support timely reimbursement.
- Verified insurance eligibility and benefits while assisting patients with billing-related questions.
- Ensured HIPAA compliance while maintaining accurate patient documentation.
Education
Associate of Applied Science - Nursing
Delaware County Community College
Media, PA 08.2020 - 05.2027
General Educational Development -
Delaware County Community College
Media, PA 09.2017 - 09.2017
Skills
- Prior Authorizations
- Insurance Verification
- Epic EMR
- HCPCS & ICD-10
- Care Coordination
- Patient Care
- HIPAA Compliance
- Vital Signs
- Blood Glucose Testing
- Phlebotomy
- 12-Lead EKG Acquisition
- Wound Care
- Basic Life Support (BLS)
Certification
- Basic Life Support (BLS), American Heart Association
- CPR Certified
Timeline
Insurance Verification & Prior Authorization Specialist
Zoia Pharma / Pentec Health
10.2025 - Current
Nursing Assistant
Penn Medicine - Chester County Hospital
12.2020 - 11.2025
Associate of Applied Science - Nursing
Delaware County Community College
08.2020 - 05.2027
Medical Billing Specialist
Providence ENT
05.2020 - 11.2020
General Educational Development -
Delaware County Community College
09.2017 - 09.2017