Fawn Pollard

Experience

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  SAVANNAH NEUROLOGY SPECIALISTS, P.C.

  Jan 2007 - Jan 2013

  Medical Records Specialist

  • As a Medical Records Specialist, I managed medical records and patient data. My responsibilities included organizing, coding, and indexing patient records. I verified the completeness and accuracy of medical documentation and tracked patient histories. Responding to requests for patient information was a key part of my role and I followed established procedures to protect the confidentiality and security of sensitive medical data. I also assisted in audits and quality control processes to maintain the integrity of medical records, collaborating with healthcare professionals and administrators to ensure seamless record-keeping processes. My role was pivotal in the efficiency of healthcare operations and the delivery of quality patient care. Show less

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  Armstrong State University

  Oct 2013 - May 2017

  Student
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  SAVANNAH NEUROLOGY SPECIALISTS, P.C.

  Jan 2017 - Jan 2018

  Coordinator, Physician Therapy

  • Retrieved hospital records from a local medical facility to ensure the completeness and accuracy of patient medical histories within their healthcare records• Scanned and integrated hospital records into the member's medical file to ensure providers had access to relevant health information; Managed the authorization process for a variety of health plans to gain the necessary approvals• Conducted benefit verifications for patients' health plans by verifying essential coverage details and eligibility Show less

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  Lesdesma Physical Therapy

  Jan 2018 - Jan 2019

  Office Administrator

  Scheduled patient appointments, managed appointment calendars, and coordinated with healthcare providers to optimize patient flow and maximize practice synergy; Cultivated a welcoming and safe environment to enhance overall experiences• Oversaw office inventory and equipment to ensure adequate stock levels and maintenance to improve workplace functionality and efficiency; Maintained financial records, contributing to smooth revenue cycle processes• Orchestrated the intake and organization of incoming medical records to validate accurate and secure record-keeping while adhering to privacy and regulatory standards for healthcare documentation Show less

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  EviCore healthcare

  Jan 2019 - now

  • Reviews and assesses medical claims for accuracy, adherence to policy guidelines, and compliance with regulatory requirements to ensure timely and accurate claims processing.• Conducts research and interprets policy provisions and insurance contracts to ensure accurate understanding and application of coverage terms and conditions for effective claims assessment and processing.• Engages with policyholders, healthcare providers, and other stakeholders by responding to inquiries, providing information, and offering assistance in navigating insurance coverage, claims processes, and policy-related concerns.• Maintains records and documentation of claims activities; Generates reports on claims trends and translates insights to support data-driven decision-making for continuous improvement and cost containment across operations. Show less • Offered thought partnership and functional expertise to drive the completion of Durable Medical Equipment (DME) special projects; Implemented project plans to ensure successful execution as aligned with quality standards.• Managed a high call volume of up to 40 daily inquiries from members, healthcare providers, and Health Representatives; Employed strong customer service skills to deploy innovative solutions.• Conducted research and efficiently resolved issues related to the Prior Authorization for DME process to ensure compliance with established protocols.• Streamlined workflows for inbound and outbound communications between eviCore Healthcare stakeholders and external hospitals, physicians, and Post Acute Care Providers for the PAC health plan.• Shared critical information regarding state-specific and national healthcare laws, appeals, and reconsideration policies, to external hospitals, physicians, and PAC providers to promote compliance and adherence to regulatory requirements. Show less • Leveraged a patient-centric focus to coordinate patient care; Evaluated medical requests, facilitated Prior Authorization, and ensured access to essential healthcare services.• Collaborated closely with healthcare providers, payers, and patients to assess care needs and guide individuals through the complex healthcare landscape.• Managed and maintained an active caseload of up to 20 cases daily to ensure thorough oversight, timely updates, and effective coordination to meet client needs and achieve positive outcomes.• Partnered with healthcare facilities, patients, and physicians' offices to mitigate risks by proactively investigating, addressing, and resolving pre-certification inquiries and concerns. Show less • Leveraged a patient-centric focus to coordinate patient care; Evaluated medical requests, facilitated Prior Authorization, and ensured access to essential healthcare services• Collaborated closely with healthcare providers, payers, and patients to assess care needs and guide individuals through the complex healthcare landscape• Managed and maintained an active caseload of up to 20 cases daily to ensure thorough oversight, timely updates, and effective coordination to meet client needs and achieve positive outcomes• Partnered with healthcare facilities, patients, and physicians' offices to mitigate risks by proactively investigating, addressing, and resolving pre-certification inquiries and concerns Show less

  • Operations Support Analyst

    Jan 2023 - now

  • Case Administrator

    Jan 2021 - Jan 2023

  • Care Coordinator

    Jan 2020 - Jan 2021

  • Intake Representative

    Jan 2019 - Jan 2020