AMANDA CONYERS
Centralia
Summary
Experienced with navigating healthcare insurance systems to secure treatment approvals. Utilizes keen attention to detail and extensive knowledge of medical coding to streamline processes. Strong understanding of insurance guidelines and patient advocacy to ensure optimal outcomes.
Overview
18
18
years of professional experience
Work History
Buisness Support Specialst
CHILDRENS THERAPY CENTER
Columbia, MO
07.2023 - Current
- Reviewed and processed prior authorization requests to ensure compliance with insurance guidelines.
- Communicated with healthcare providers to gather necessary documentation for approval processes.
- Managed authorization workflows, ensuring timely responses to requests and minimizing delays.
- Developed strategies to streamline workflows, reducing turnaround times for authorization approvals.
- Led initiatives focused on enhancing customer service within the prior authorization department.
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
- Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
Patient Service Representative
CHILDRENS THERAPY CENTER
Columbia, MO
10.2019 - 07.2023
- Managed patient scheduling and appointment confirmations to optimize clinic operations.
- Facilitated effective communication between patients, families, and healthcare providers.
- Developed and maintained accurate patient records using electronic health record systems.
- Trained new staff on office procedures and software systems to enhance workflow efficiency.
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
- Used Power Chart and Therapy Source to schedule appointments.
- Coordinated referrals efficiently between primary care providers and specialists, ensuring a seamless patient experience.
Department Manager
WALMART
COLUMBIA
07.2008 - 10.2018
- Directed daily operations, ensuring optimal inventory levels and product availability.
- Developed and implemented visual merchandising strategies to enhance customer engagement.
- Mentored and trained staff on customer service protocols and sales techniques.
- Increased customer satisfaction by providing exceptional service and addressing customer concerns promptly.
- Maintained a visually appealing department layout that effectively showcased products and enticed customers to make purchases.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Implemented loss prevention measures that significantly reduced instances of theft or damage within the department.
Education
Criminal Justice - Law
Columbia College
Columbia, MOSkills
- Prior authorization process
- Medical terminology
- Insurance verification
- Effective communication skills
- Knowledgeable in Revenue Cycle, Power Chart, IDX, Power BI, Microsoft, Excel, Word, Availity, and multiple insurance websites
- Time management
- Patient referrals
- Professionalism and ethics
- Attention to detail
- Multitasking Abilities
- Understanding customer needs
- Adaptability and flexibility
Timeline
Buisness Support Specialst
CHILDRENS THERAPY CENTER
07.2023 - Current
Patient Service Representative
CHILDRENS THERAPY CENTER
10.2019 - 07.2023
Department Manager
WALMART
07.2008 - 10.2018
Criminal Justice - Law
Columbia College