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authorization specialist resume example with 18+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
  • :
Summary

Personable and dedicated Authorization Specialist with extensive experience in the Medical industry. Solid team player with upbeat, positive attitude and proven skill in establishing rapport with patients. Motivated to maintain patient satisfaction and contribute to company success. Articulate, enthusiastic and results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses.

Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Skills
  • Knowledgeable in NextGen and MedEvolve
  • Recordkeeping and Data Input
  • Telephone Etiquette
  • Authorizations Knowledge
  • Data Entry
  • Customer Service
  • Friendly, Positive Attitude
  • Computer Skills
  • Flexible Schedule
  • Good Work Ethic
  • Microsoft Office
  • People Skills
  • First Aid/CPR
  • Problem Resolution
  • Understands Medical Procedures
  • HIPAA Compliance
  • Advanced Anatomy Knowledge
  • Completing Insurance Forms
  • Time Management
  • Check-In and Check-Out Procedures
  • Appointment Scheduling
Experience
Authorization Specialist, 11/2020 to Current
Elara CaringEast Rutherford, NJ,
  • Explained eligibility and authorization detail to patients with kindness and respect.
  • Kept detailed reports of client and account data, consistently updating database with latest information.
  • Coordinated with other departments to promote prompt processing of patient's authorization.
  • Entered patient information and files into databases for further review and tracking.
  • Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
  • Responded to patient inquiries and concerns and escalated complex problems to department supervisors.
  • Explained reasons behind application denials and recommended further action.
  • Answered incoming inquiries to discuss authorization or denial report information with subscribers.
  • Relayed messages from physicians to patients about concerns.
  • Incorporated outside records into charts and EHR.
  • Conducted insurance verification and pre-certification and pre-authorization functions.
  • Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
  • Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
  • Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
  • Coordinated with healthcare team to establish, enact and evaluate patient care plans.
PT/HT Unit Coordinator, 05/2011 to 11/2020
Columbia UniversityNew York, NY,
  • Used multiple electronic medical software to conduct patient intakes and send correspondence.
  • Coordinated workflow based on stat, schedule, or outpatient needs.
  • Conducted patient intake interviews to collect medical information and insurance details.
  • Retrieved faxes and uploaded documents to patient charts to assist clinical staff.
  • Greeted patients and visitors to answer questions or refer inquiries to appropriate personnel.
  • Called patients to confirm scheduled appointments and obtain additional details.
  • Processed patient payments and scanned identification and insurance cards.
  • Checked patients in and out for appointments and collected co-payments.
  • Informed patients of financial responsibilities prior to rendering services.
  • Protected patients by observing strict HIPAA guidelines.
  • Answered multi-line phone system and directed callers to requested personnel and departments.
  • Entered insurance, demographics and health history into patient database.
  • Photocopied insurance cards, documented details and verified patient coverage for upcoming procedures or appointments.
  • Carried out daily tasks by professionally communicating with physicians, nursing staff, technicians and medical assistants.
  • Trained new staff on office procedures, insurance processes and medical terminology.
  • Observed and reported patient reaction to treatment or changes in condition, facilitating appropriate follow-up.
  • Participated in marketing and community presentations and projects, promoting success of facility.
  • Used wheelchairs and provided standing support to transport patients to and from treatment areas.
Associate Manager, 10/2004 to 04/2011
Regal Entertainment GroupCity, STATE,
  • Served as mentor to over 30 junior team members
  • Spearheaded blockbuster movie promotions
  • Oversaw daily over time management.
  • Prioritized and delegated tasks for efficient completion within team environment.
  • Organized schedules, workflows and shift coverage to meet expected business demands.
  • Assisted supervisor in evaluating employee performance and cultivating improvement initiatives.
  • Maintained inventory accuracy by counting stock-on-hand and reconciling discrepancies.
  • Enforced company policies and procedures to strengthen operational standards across departments.
  • Managed new hire trainings and onboarding to keep employees aware of company policies and procedures.
Education and Training
High School Diploma: , Expected in 01/2006 to Heritage High School - Vancouver, WA
GPA:

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Resume Overview

School Attended

  • Heritage High School

Job Titles Held:

  • Authorization Specialist
  • PT/HT Unit Coordinator
  • Associate Manager

Degrees

  • High School Diploma

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