Amanda Abbate
Stamford,CT
Summary
Revenue Cycle professional with expertise in denial resolution and process optimization. Demonstrated ability in workflow coordination and staff management, leading to enhanced operational efficiency. Proven success in data analysis and coding accuracy, resulting in reduced claim denials through streamlined prior authorization processes. Key contributor in the transition from multiple EHR systems to a unified platform.
Overview
17
17
years of professional experience
Work History
Revenue Cycle Coordinator
Stamford Health
Stamford, CT
12.2020 - Current
- Facilitated revenue cycle process support for all clinical personnel, addressing procedure challenges
- Contributed to revenue cycle processes, focusing on reducing denials
- Facilitated the development of internal procedures for processing prior authorizations.
- Coordinated efforts with clinical personnel and additional departments to maintain accuracy in coding of services rendered.
- Executed thorough monthly audits regarding denied claims analysis.
- Coached employees in navigating challenging or intricate problems.
- Facilitated resolution of escalated provider and patient matters, enhancing understanding through effective communication.
- Managed work schedules, duty responsibilities, and deadlines for both internal and vendor authorization teams.
- Analyzed reports on employee attendance, productivity, and effectiveness to assess performance.
- Facilitated training sessions on new policies, procedures, and EHR transition regarding authorization and revenue cycle.
- Assessed employees' work for conformity to the organization's standards and adherence to proper procedures.
- Guided employees on best practices and protocols while leading teams to ensure peak productivity.
- Instituted departmental policies and standards in partnership with management to simplify internal operations.
Lead Authorization Specialist
Stamford Health
Stamford, CT
06.2013 - 12.2020
- Assisted with hiring, training, and evaluating staff members within the radiology authorization department.
- Served as a liaison between the hospital administration, physicians, vendors, and staff.
- Participated in committees or task forces related to the revenue cycle.
- Oversaw STAT exam scheduling, including prior authorization, and patient coordination for consistent department operations.
- Monitored workflow in the radiology authorization department to improve efficiency.
- Provided support and guidance to colleagues to maintain a collaborative work environment.
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
- Conducted quality assurance audits of prior authorization processes according to established standards.
- Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions.
- Educated healthcare professionals on how to properly submit a request for pre-authorization.
- Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
- Maintained accurate records of all authorization activities in multiple EHRs and scheduling systems.
- Monitored changes in insurance policies and guidelines to ensure compliance with prior authorization processes.
Authorization Specialist
Stamford Health
Stamford, CT
03.2009 - 06.2013
- Responded promptly to inquiries from providers, patients and payers regarding status of prior authorization requests.
- Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
- Provided customer service to patients and healthcare providers, answering questions related to prior authorization and insurance coverage.
- Reviewed prior authorization requests to ensure accuracy and completeness of required information.
- Conversed with patients from different cultures daily, providing high level of respect and patience with each interaction.
- Scheduled patient appointments, diagnostic specialty appointments, tests and procedures.
- Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
- Notified ordering providers of denied authorizations.
- Clarified patient inquiries and questions to update patient account information in computer system.
- Communicated authorization decisions, including approvals and denials, to healthcare providers and patients.
- Collaborated with insurance companies to clarify coverage details and resolve issues related to prior authorization.
- Provided guidance to providers regarding the prior authorization process.
- Coordinated resolutions for issues and appealed denied authorizations.
- Facilitated communication between providers, payers and health plans regarding prior authorization processes.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
- Collaborated with internal departments to provide account status updates.
- Maintained positive working relationship with fellow staff and management.
Education
High School Diploma -
Stamford High School
Stamford06-2005
Skills
- Process improvement
- Data analysis
- Coding accuracy
- Denial resolution
- Problem solving
- Vendor management
Accomplishments
- Achieved denials reduction of 40%
- Exceeded monthly & yearly volume budget
Timeline
Revenue Cycle Coordinator
Stamford Health
12.2020 - Current
Lead Authorization Specialist
Stamford Health
06.2013 - 12.2020
Authorization Specialist
Stamford Health
03.2009 - 06.2013
High School Diploma -
Stamford High School