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Skills

  • Insurance pre-authorization
  • Operational improvement
  • Organization
  • Advancing quality standards
  • Patient data management
  • Project organization
  • Medical insurance billing
  • Process automation implementation
  • Process improvement
  • Customer service

Work Experiences

  • Was in charge of patient scheduling, check-in, check-out, and billing payments.
  • Automated manual authorization processes.
  • Located, checked in, and pulled medical records for patient appointments and incomplete charts.
  • Kept meticulous records of office inventories and ordered additional supplies for $4.
  • Coordinated communication between healthcare providers and insurance companies.
  • Was in charge of financial documents like expense reports and invoices.
  • Achieved a 33% increase in client satisfaction.
  • Collaborated with billing departments to address pre-authorization delays, reducing outstanding claims by $7 over 11 months.
  • Collaborated with billing departments.
  • Achieved a 44% increase in patient throughput.

Summaries

  • Authorization Associate expert in client relationship management, improving overall customer satisfaction by 65% through effective communication and issue resolution.
  • Costs were consistently reduced while profits were increased.
  • Accomplished Authorization Associate.
  • Positive and upbeat personality with strong interpersonal communication skills.
  • Within Miscellaneous, senior Authorization Associate and outstanding performer in performance reporting and cross-functional collaboration.
  • Clear understanding of client relations and team leadership as well as vendor management training.
  • Authorization Associate with 3 years of successful vendor management and risk assessment experience.
  • Authorization Associate with a focus on process optimization, reducing approval processing times by 25% and enhancing operational efficiency.
  • For a busy process practice, a capable Authorization Associate capable of handling all medical administrative needs.
  • Authorization Associate with a strong aptitude for claims and denial management, securing over $2 in additional revenue by streamlining the appeals process.

Accomplishments

  • Contributed to scaling team operations by implementing an automated tracking system to monitor authorization request approvals, reducing delays by 40%.
  • Partnered with IT teams to automate manual authorization processes, resulting in a 26% boost in department productivity.
  • Resolved 15 escalated cases by effectively communicating with insurers, achieving a 56% increase in patient satisfaction.
  • Reduced errors in insurance verification by 54% using new software tools such as QuickBooks.
  • Improved internal coordination with care providers and billing offices, leading to a 51% improvement in communication lead time.
  • Trained new team members on best practices for medical billing and authorization procedures, ensuring a 57% drop in training time.
  • Introduced a real-time dashboard to provide transparency on authorization status across departments, reducing query volume by 82%.
  • Initiated a cross-departmental review of authorization processes, reducing unnecessary rework for highly restricted treatment cases by 18%.
  • Consulted with the appeals department to recover 41% more denied claims, closing the gap in recovered revenue over 2016.
  • Spearheaded a workflow optimization project, which led to a 31% uplift in timely authorization completions.

Affiliations

  • American Marketing Association
  • American Medical Informatics Association
  • American Health Information Management Association (AHIMA)
  • Insurance Regulatory Examiners Society (IRES)
  • Rotary International
  • Toastmasters
  • Digital Health Institute Certified Professional (DHICP)
  • American Society of Safety Professionals
  • Member, Medical Coders of Austin Professional Group
  • Utilization Review Accreditation Commission (URAC)

Certifications

  • Certified Case Management Administrator (CCMA) by CCMC
  • Certified Business Analysis Professional (CBAP)
  • Certificate in Healthcare Revenue Integrity by NAHR
  • Certified Medical Office Manager (CMOM) by PMI
  • Radiology Certified Coder (RCC) by RBMA
  • Certified Health Data Analyst (CHDA) by AHIMA
  • Certified Medical Insurance Specialist (CMIS) by PMI
  • Certified Medical Transcriptionist (CMT) by AHDI
  • Cisco Certified Internetwork Expert (CCIE)
  • Certified Public Accountant (CPA)

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