Summary
Overview
Work History
Education
Skills
Timeline
Generic

Christal Dawes

Greenfield

Summary

Patient Financial Services Representative with extensive experience in healthcare billing and insurance pre-approval at Brattleboro Memorial Hospital. Demonstrated ability to enhance operational efficiency through financial auditing and policy verification. Recognized for delivering exceptional customer service and resolving complex billing issues. Committed to ensuring accurate insurance coverage and improving patient satisfaction.

Overview

10
10
years of professional experience

Work History

Patient Financial Services Representative

Brattleboro Memorial Hospital
Brattleboro
10.2015 - Current
  • Streamlined patient scheduling and appointment coordination processes
  • Facilitated insurance verification and eligibility inquiries for patients.
  • Delivered outstanding customer service to elevate patient satisfaction.

Prior Authorization Specialist

Brattleboro Memorial Hospital
Brattleboro
01.2021 - 06.2025
  • Reviewed prior authorization requests for medical services and procedures
  • Audited patient records to confirm insurance coverage and requirements.
  • Coordinated with insurance companies to rectify authorization discrepancies.
  • Sustained precise records of authorization requests and outcomes.
  • Guided patients in comprehending insurance benefits and coverage options.
  • Validated patient insurance coverage, encompassing eligibility, benefits, and authorizations for medical services.
  • Organized peer-to-peer reviews enabling physicians to discuss medical necessity with insurance providers.

Billing Specialist

Brattleboro Memorial Hospital
Brattleboro
06.2019 - 09.2021
  • Executed patient billing statement processing with precision and efficiency for healthcare services.
  • Audited patient accounts to identify discrepancies and addressed billing issues promptly.
  • Employed billing software to ensure accurate patient records and transactions management.
  • Resolved customer inquiries concerning billings, payments, account status.
  • Rectified discrepancies between customer remittances and received invoices.

Education

Associate of Science - Information And Computer Systems

Northwood University
Palm Beach, FL
05-2010

Skills

  • Policy verification
  • healthcare billing
  • Insurance pre-approval
  • Financial auditing
  • Customer service
  • Insurance claims processing

Timeline

Prior Authorization Specialist

Brattleboro Memorial Hospital
01.2021 - 06.2025

Billing Specialist

Brattleboro Memorial Hospital
06.2019 - 09.2021

Patient Financial Services Representative

Brattleboro Memorial Hospital
10.2015 - Current

Associate of Science - Information And Computer Systems

Northwood University
Christal Dawes