Rachel Collins
Springdale
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
5
5
years of professional experience
Work History
Precertification Specialist
Washington Regional Medical Center
Fayetteville, AR
05.2024 - Current
- Maintain a current working knowledge of authorization and medical necessity requirements.
- Communicated with ordering providers and clinic staff for medical reviews and preauthorization on future cases.
- Coordinated with departments and providers to verify and ensure accuracy of authorizations.
- Review cases for anticipated denials and schedule peer reviews.
- Utilize the appropriate system to document the case outcome.
- Assisted scheduling and admissions staff with inquiries related to medical necessity and authorizations.
- Complete post procedure reviews to initiate updates to existing authorizations.
- Gained knowledge of insurance plans and specialties to assist in patient referrals.
Coder Abstractor - Student
Freeman Health System
Joplin, MO
03.2023 - 05.2024
- Achieved productivity standard by coding 400+ charts weekly, supporting department efficiency and timely patient care.
- Assign ICD-10-CM, ICD-10-PCM, CPT, & HCPCS codes to Emergency Department and Outpatient Clinic/Surgery Charts.
- Reviewed patient charts to identify and resolve discrepancies in medical documentation, ensuring accurate coding.
- Communicate with multiple departments daily via Microsoft Outlook & Teams to ensure accurate coding.
- Interpret medical terminology and translate into coding language.
- Follow state law requirements when performing coding procedures.
- Completed ongoing education to maintain expertise in current coding and billing guidelines, contributing to compliance and quality assurance.
Medical Biller/Physician Coder
Medical Associates Of Northwest Arkansas
Fayetteville, AR
03.2021 - 03.2023
- Scrubbed and processed claims for five specialties, ensuring accuracy and compliance with billing standards.
- Assign ICD-10 codes to patient claims.
- Verify coding accuracy against provider documentation.
- Review patient charts and identify discrepancies in the medical documentation.
- Researched and reprocessed/appealed denials for all specialties to secure appropriate reimbursements.
- Interpret medical terminology in order to translate it into coding language.
- Ensured compliance with state laws during coding procedures.
- Coordinated communication between departments and providers to enhance accuracy in claims processing and coding.
Education
Certificate of Completion - Accounting
CourseCareers Accounting Course
Springdale02-2026
High School Diploma -
Homeschool
Springdale, AR10-2013
Certificate of Completion - Medical Billing/Coding
AAPC Medical Billing/Coding Course
Springdale, AR11-2023
Skills
- Insurance verification
- Authorization management
- EHR management
- Medical Billing
- Medical terminology
- Attention to detail
- Problem resolution
- Microsoft Office experience
- Effective communication skills
- Telephone etiquette
- Patient advocacy
- Conflict resolution techniques
Timeline
Precertification Specialist
Washington Regional Medical Center
05.2024 - Current
Coder Abstractor - Student
Freeman Health System
03.2023 - 05.2024
Medical Biller/Physician Coder
Medical Associates Of Northwest Arkansas
03.2021 - 03.2023
Certificate of Completion - Accounting
CourseCareers Accounting Course
High School Diploma -
Homeschool
Certificate of Completion - Medical Billing/Coding
AAPC Medical Billing/Coding Course