Alyssa Grainge
Pasadena
Summary
Medical billing and coding professional with extensive experience in healthcare administration. Proven expertise in accurately processing claims, ensuring compliance with regulations, and maintaining detailed patient records. Highly collaborative team member focused on achieving results and adapting to changing needs.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Account Control Officer - Medical Billing
Meg Business Management
06.2024 - Current
- Processed medical claims accurately to ensure timely reimbursements from insurance companies.
- Managed accounts receivable, reducing outstanding balances through effective follow-up strategies.
- Reviewed and resolved billing discrepancies, improving accuracy of patient accounts.
- Utilized billing software to streamline claim submissions and track payment statuses efficiently.
- Collaborated with healthcare providers to gather necessary documentation for claim processing.
- Assisted in training new staff on billing procedures and software systems for operational efficiency.
- Analyzed trends in accounts receivable aging reports to identify areas for improvement in collections processes.
- Facilitated clear communication between medical providers, insurance companies, and patients for smooth billing operations.
Prior Authorization Specialist
Conifer Healthcare Solutions
11.2020 - 05.2024
- Reviewed and verified prior authorization requests for compliance with insurance policies.
- Collaborated with healthcare providers to obtain necessary documentation for authorization approvals.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
- Input all patient data regarding claims and prior authorizations into system accurately.
Veterinary Technician
Huffard Animal Hospital
11.2019 - 10.2020
- Maintained accurate medical records using veterinary software systems to streamline patient management processes.
- Administered vaccinations and medications, ensuring compliance with protocols and animal welfare standards.
- Assisted in diagnostic procedures, including radiography and laboratory testing, enhancing accuracy of results.
- Effectively managed time-sensitive tasks while maintaining high-quality patient care through multitasking abilities during busy shifts at the clinic.
- Cleaned and disinfected exam areas, surgical equipment, and kennels to prevent diseases and control odors.
- Collected room deposits, fees, and payments.
Front Desk Medical Receptionist
Annapolis ENT & Allergy Associates
03.2017 - 05.2019
- Managed front desk operations, ensuring efficient patient check-in and appointment scheduling.
- Coordinated insurance verification and patient billing processes for smooth transactions.
- Developed and maintained patient records using electronic health record (EHR) systems.
- Assisted in training new staff on office procedures and software utilization.
- Collaborated with healthcare providers to resolve billing discrepancies and improve accuracy.
- Improved patient satisfaction by accurately processing medical bills and promptly addressing inquiries.
Education
Certificate - Certified Outpatient Coding (COC) Training
AAPC
06-2025
Skills
- ICD-10 proficiency
- CPT knowledge
- Claim submission
- Insurance verification
- Denial management
- Medical coding expertise
- Payment posting
- Collections management
- Teamwork and collaboration
- Billing and collection procedures
- CMS-1500 billing forms
- Medical terminology
- Electronic health record software
- HIPAA procedures
Certification
- Certified Outpatient Coding (COC) - Scheduled February 2026
Timeline
Account Control Officer - Medical Billing
Meg Business Management
06.2024 - Current
Prior Authorization Specialist
Conifer Healthcare Solutions
11.2020 - 05.2024
Veterinary Technician
Huffard Animal Hospital
11.2019 - 10.2020
Front Desk Medical Receptionist
Annapolis ENT & Allergy Associates
03.2017 - 05.2019
Certificate - Certified Outpatient Coding (COC) Training
AAPC