Department Manager Administrative Authorizations resume example with 15+ years of experience

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

Highly trained professional with a background in verifying insurance benefits/obtaining medical authorizations and creating appropriate patient documentation. An established Insurance Verification/Authorization Specialist known for handling various office tasks with undeniable ease.

  • Prior authorization processing
  • Understanding of medical terms
  • Accurate and detailed
  • Knowledgeable of Eclinicalworks or EMR.
  • Microsoft office such as: word, excel.
  • Data entry
  • Works well under pressure
  • Verifying insurance coverage
  • Employee timesheet processing
  • Advanced clerical knowledge
  • Professional phone etiquette
Work History
07/2014 to Current
Department Manager/Administrative/Authorizations Ranken Jordan Pediatric Bridge Hospital Maryland Heights, MO,
  • Implemented process improvement initiatives within the department.
  • Established performance goals for employees and provided feedback on methods for reaching those milestones.
  • Ensured that all employees within the authorization/verification department presented a positive, exemplary image to patients.
  • Adhered to all safety procedures and company standards and policies.
  • Built a talented and valuable team of departmental employees through outstanding mentoring, coaching and teaching skills.
  • Handled all customer relations issues in a gracious manner and in accordance with company policies.
  • Communicated clear expectations and goals to each team member.
  • Worked with the management team to implement the proper division of responsibilities.
  • Coached new employees on administrative procedures, company policies and performance standards.
  • Patient check in/check out
  • Scanned physical files into digital records, assigning faxes,medical records.
  • Maintained a clean reception area, including lounge and associated areas.
  • Answering calls, scheduling appointments.
  • Obtaining medical authorizations. 
  • Coordinating care for patients in a workman's compensation and Auto accident related cases. 
  • Assured the timely verification of insurance benefits prior to patient procedures or appointments.
  • Made contact with insurance carriers to discuss their policies and individual patient benefits.
  • Accurately inputted all patient and insurance information into the company’s computer system using Eclinical.
  • Verified and created claim Numbers by communicating with various insurance companies.
  • Observed strict procedures to protect sensitive patient information, including medical records and payment data.
  • Maintained a strong knowledge of basic medical terminology to better understand services and procedures. 
  • Input all documents into the records management system.
  • Assisted senior administrative professionals with daily work tasks.
10/2013 to 02/2014
Administrative Assistant/Authorizations/Insurance Verifier Your Care Clinic City, STATE,
  • Patient check in/check out.
  • Answering calls, scheduling appointments.
  • Obtaining Medical authorizations.
  • Verifying Insurance and benefits prior to patients appointment.
  • Scanning documents,assigning faxes, medical records. 
  • Maintained a clean reception area, including lounge and associated areas.
  • Greeted incoming patients and pharmaceutical reps in a professional manner and provided friendly, knowledgeable assistance.
  • Called patients to confirm scheduled appointments a day in advance.
  • Helped distribute employee notices and mail around the office.
01/2012 to 10/2013
Administrative Assistant/Phlebotomist DCI Biologicals City, STATE,
  • Answered and managed incoming and outgoing calls while recording accurate messages.
  • Assisted administrative team members with completing daily tasks in order to maintain a smooth workflow.
  • Locating Donor's charts to pursue donation process. 
  • Providing the screening process, which consisted of taking the Donor's vitals, checking the Donor's hematocrit and protein levels  through a centrifuge machine. 
  • Inputting data entry by entering new Donor's information into a system called The PDS III, also checked Donor's background through 
  • Performing vein checks to make assure the Donor is  suitable for the donation. 
  • Calibrating machines such as, refractometer, dina map (vitals machine).
  •  Drawing plasma using a 16 gauge needle. 
  • Properly storing plasma post donation for lab relocation. 
  • Responsible for payouts to the donor after the donation. 
05/2006 to 04/2011
Pharmacy Technician Eckerds Mail In Pharmacy City, STATE,
  • Restocked automated medication dispensing equipment.
  • Prepared bills for insurance companies. 
  • Processed incoming drug orders.
  • Assisted the pharmacist with filling prescriptions for 20 to 50 customers daily. 
  • Resolved non-routine issues like third-party billing, computer system and customer service issues.
  • Communicated instructions to patients or caregivers. 
  • Communicated with prescribers to verify medication dosages, refill authorizations and patient information.
  • Counted, measured, and compounded medications following standard procedures.
  • Prepared intravenous solutions, admixtures, respiratory drugs and other solutions using aseptic techniques.
  • Counted and labeled prescriptions with correct item and quantity. 
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Collected co-payments or full payments from customers.
  • Implemented standard procedures for mixing, packaging and labeling pharmaceuticals to ensure quality, security and proper disposal.
  • Prepacked bulk medicines, filled bottles with prescribed medications and affixed correct labels.
  • Hand counted control medications, measured liquids and reconstituted antibiotics.
Expected in 2017
High School Diploma:
Penn Foster Career School - Scranton, PA
Expected in 2020
Associate of Arts: Health Science Major
Saint petersburg college - Seminole, FL

Currently enrolled , pursuing a degree in Nursing.


Graduated in 2012 with a 3.5 GPA from Florida Career College for Patient Care Technician.

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

Your data is safe with us

Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.

Resume Overview

School Attended

  • Penn Foster Career School
  • Saint petersburg college

Job Titles Held:

  • Department Manager/Administrative/Authorizations
  • Administrative Assistant/Authorizations/Insurance Verifier
  • Administrative Assistant/Phlebotomist
  • Pharmacy Technician


  • High School Diploma
  • Associate of Arts

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

*As seen in:As seen in: