Allison Buescher
Red Bud,IL
Summary
Specialized in revenue cycle management, prior authorization, insurance verification, and claims resolution to optimize financial outcomes and elevate patient satisfaction. Strategic leader in management field known for high productivity and efficient task completion. Possess specialized skills in operational strategy, team leadership, and conflict resolution. Excel in communication, adaptability, and problem-solving to achieve organizational goals.
Overview
17
17
years of professional experience
Work History
Prior Authorization Manager
Select Rehabilitation
Fairview Heights, IL
01.2020 - Current
- Consistently achieved high clean-claim rates, ensuring compliance with billing deadlines and revenue cycle goals.
- Successfully managed full-cycle recruiting, onboarding, and retention—achieving a 100% staff retention rate.
- Conduct daily huddles and biweekly team meetings to align priorities, improve communication and sustain team productivity.
- Monitor KPIs and align revenue targets with organizational objectives.
- Analyzed authorization data trends to identify bottlenecks, leading to targeted improvements and measurable reductions in processing times.
- Manage a team of remote staff, enhancing payroll accuracy and workflow efficiency, resulting in high compliance with billing deadlines.
- Provided training and mentorship on authorization protocols, fostering a culture of continuous learning and enhancing team performance.
- Implemented streamlined processes for authorization requests, resulting in faster approvals and significantly improved patient access to services.
- Partnered with Regional Managers and Clinical Leads to resolve authorization barriers, optimizing revenue capture and strengthening interdepartmental relationships.
- Ensured compliance with HIPAA regulations by maintaining strict confidentiality of patient records and billing data.
- Trained staff on HIPAA compliance policies and proper handling of sensitive patient information.
Homemaker
Homemaker
Red Bud, IL
07.2015 - 01.2020
Pre-Arrival Representative
BJC Healthcare
St Louis, MO
10.2014 - 07.2015
- Mentor and train new staff, streamlining onboarding and workflows.
- Provided exceptional pre-arrival assistance to patients, ensuring a seamless transition into care and enhancing overall patient experience.
- Partnered with multidisciplinary teams to coordinate patient needs, resulting in a cohesive care approach and elevated satisfaction levels.
- Engaged with patients warmly to build trust and rapport, fostering a welcoming environment that enhanced overall satisfaction.
Patient Financial Counselor
MedAssist, a Firstsource
St Louis, MO
01.2009 - 2013
- Facilitated patient financial assessments to determine eligibility for assistance programs.
- Educated patients on financial options, insurance coverage, and payment plans.
- Collaborated with healthcare providers to resolve billing inquiries and discrepancies.
- Streamlined processes for application submissions, reducing turnaround time significantly.
- Increased patient confidence in the billing process by providing clear explanations of insurance benefits and coverage limitations.
- Enhanced patient satisfaction by effectively explaining financial options and answering billing inquiries.
- Provided compassionate assistance to financially challenged patients, identifying potential sources of funding or discounts when applicable.
- Reduced hospital bad debt through proactive communication with patients about their financial responsibilities.
- Improved cash flow by proactively monitoring aging accounts receivables and implementing effective collection strategies.
- Maintained up-to-date knowledge on evolving healthcare regulations, sharing insights with colleagues for continuous improvement.
Education
Bachelor's Degree - Healthcare Administration
Capella University
Minneapolis, MN12-2028
Skills
- MS Office Suite
- Data Analysis
- Process Improvement
- KPI Monitoring
- Remote Management
- Training Development
- Conflict Resolution
- Problem solving
- Critical thinking
- HIPAA Compliance
- PHI Management
- Customer service
- Decision-making
- Time management
- Team leadership
- JIRA
Timeline
Prior Authorization Manager
Select Rehabilitation
01.2020 - Current
Homemaker
Homemaker
07.2015 - 01.2020
Pre-Arrival Representative
BJC Healthcare
10.2014 - 07.2015
Patient Financial Counselor
MedAssist, a Firstsource
01.2009 - 2013
Bachelor's Degree - Healthcare Administration
Capella University