ALLI ALDRIDGE
Syracuse,Utah
Summary
Results-driven professional with extensive experience in prior authorization and staffing management. Skilled in insurance verification, medical coding, and regulatory compliance, alongside talent acquisition and workforce planning. Effective communicator and leader, adept at enhancing operational efficiency and team performance.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Prior Authorization Specialist
Mountain Medical Supply
Provo, UT
03.2024 - Current
- Communicated authorization decisions, including approvals and denials, to healthcare providers and patients.
- Reviewed prior authorization requests to ensure accuracy and completeness of required information.
- Input claim, prior authorization, and other important medical data into system.
- Conducted regular audits of authorization records to ensure compliance with regulatory standards.
- Utilized medical coding knowledge to accurately process and document authorization requests.
- Reviewed claims submitted without valid pre-authorization codes and took corrective action when necessary.
- Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
Director of Staffing
Rubicon Staffing LLC
Heber, Utah
12.2021 - Current
- Collaborated with internal teams to continuously improve recruitment processes and execute as efficiently as possible.
- Generated reports and tracked data to monitor operational priorities and scheduling.
- Supported company growth by effectively managing an increasing volume of scheduling requests without compromising service quality.
- Implemented project management techniques to overcome obstacles and increase team productivity.
- Assisted in the development of departmental budgets by providing insights on staffing needs based on historical scheduling data analysis.
- Developed strong working relationships with management and executive team through effective scheduling and communication skills.
CNA Coordinator
Avalon Care Center
Bountiful, UT
01.2019 - 01.2021
- Defined testing protocols, quality assurance initiatives and clinic policies and procedures.
- Implemented ongoing professional development opportunities for CNA staff, leading to improved skills and knowledge.
- Increased overall patient satisfaction through diligent monitoring of CNAs' adherence to best practices.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Provided guidance on infection control protocols for CNAs, resulting in a safer working environment.
- Managed scheduling, training, and supervision of CNA staff for efficient shift coverage.
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
Unit Secretary
Thatcher Brook Rehab
Clearfield, UT
01.2017 - 01.2019
- Managed incoming calls and directed to appropriate department.
- Processed lab paperwork and requests according to physicians' orders.
- Facilitated smooth discharge processes for patients, providing necessary documentation and instructions for follow-up care as directed by physicians or nurses.
- Ensured accuracy of medical documentation by meticulously transcribing physician orders and verifying information with nursing staff as needed.
- Streamlined unit operations by maintaining an organized filing system for easy access to patient information.
- Contributed to positive patient experiences by greeting visitors, providing directions, and addressing inquiries professionally.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Processed patient bills and payments, double checking information for accuracy.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
Education
High School Diploma - CNA Certification, CPR Certification
Davis Applied Technology College
Kaysville, UTMedical Billing & Coding -
Ogden-Weber Technical College
Ogden, UTSkills
- Prior authorization
- Medical coding
- Data entry
- Customer service
- Scheduling management
- Account management proficiency
- Effective communication
- Attention to detail
- Problem solving
- Adaptability and flexibility
- Medical staff management
- Multitasking
- Organizational skills
- Problem identification
- Healthcare regulations
- Continuous improvement
Certification
- CNA
- CPR
- Medical Billing and Coding
References
References available upon request.
Timeline
Prior Authorization Specialist
Mountain Medical Supply
03.2024 - Current
Director of Staffing
Rubicon Staffing LLC
12.2021 - Current
CNA Coordinator
Avalon Care Center
01.2019 - 01.2021
Unit Secretary
Thatcher Brook Rehab
01.2017 - 01.2019
High School Diploma - CNA Certification, CPR Certification
Davis Applied Technology College
Medical Billing & Coding -
Ogden-Weber Technical College
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