Christine Briley
California City
Summary
Detail-oriented healthcare specialist with experience securing medical equipment authorizations, verifying insurance coverage, and ensuring accurate documentation. Skilled in interpreting provider notes, coordinating billing needs, and maintaining HIPAA compliance. Known for strong communication, attention to detail, and chart management. Seeking to transition into Utilization Review by applying expertise in authorization workflows and medical necessity documentation.
Overview
11
11
years of professional experience
Work History
Self Employed
Xtream Kleen
03.2019 - Current
- Provided property clean-out services for units preparing for new tenants.
- Assisted banks and property managers with cleanouts requiring a quick turnaround and reliability.
- Managed day-to-day business operations.
- Consulted with customers to assess needs and propose optimal solutions.
- Worked flexible hours across night, weekend, and holiday shifts.
- Managed time efficiently in order to complete all tasks within deadlines.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
Insurance Specialist
Southwest Medical Association
11.2016 - 02.2019
- Managed a diverse patient caseload and verified insurance coverage for Medicaid, Tricare, HPN, and HPN Medicaid.
- Ensured that all HIPAA requirements were met.
- Coordinated billing and prior authorizations.
- Maintain accurate and complete patient files, with supporting clinical documentation, authorization, and billing.
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Resolved discrepancies in insurance payments by collaborating with carriers.
- Communicated effectively with members of operations, finance, and clinical departments.
- Responded to customer calls swiftly to resolve issues and answer questions.
Insurance Specialist
Everything Medical
11.2014 - 11.2016
- Verified insurance coverage for Medicaid, Workers' Compensation
- Coordinated billing and prior authorizations.
- Ensured accurate insurance and billing information for patients and providers.
- Communicated with insurers to confirm benefits, and resolve issues.
- Maintained organized documentation to support billing accuracy.
- Collaborated with healthcare providers to verify patient information and policy coverage details.
- Followed up on denials, late payments, extensions and other special circumstances.
- Maintained confidentiality of patient finances, records, and health statuses.
Education
Bachelor of Science - Psychology
Grand Canyon University
01.2014
Diploma - undefined
Quartz Hill High School
01.2003
Skills
- Proficient in Microsoft Office (Word, Excel, Outlook)
- Knowledge of OSHA, HIPAA, Medi-Cal, and Workers’ Compensation processes
- Strong written and verbal communication skills
- High attention to detail and documentation accuracy
- Experienced in insurance verification and prior authorizations
- Familiar with documentation requirements for billing of medical equipment
- Skilled in maintaining organized, compliant patient files
- Able to manage diverse caseloads and multitask effectively
- Reliable, efficient, and adaptable in fast-paced environments
- Strong collaboration skills with patients, providers, and property managers
- Proven dependability in meeting tight deadlines and workflow needs
Timeline
Self Employed
Xtream Kleen
03.2019 - Current
Insurance Specialist
Southwest Medical Association
11.2016 - 02.2019
Insurance Specialist
Everything Medical
11.2014 - 11.2016
Diploma - undefined
Quartz Hill High School
Bachelor of Science - Psychology
Grand Canyon University