Amber Davis
Adrian,USA
Summary
Diligent, hardworking Prior Authorization Representative with customer service, multitasking, and time management abilities. A deep understanding of managed care procedures and health insurance policies. Strong ability to leverage communication skills to coordinate between healthcare providers, patients, and insurance companies for approvals. Devoted to giving every customer a positive and memorable experience.
Overview
6
6
years of professional experience
Work History
Patient Benefits Advisor /Prior Authorization Representative
Bates County Memorial Hospital
Butler, Missouri
05.2025 - Current
- Reviewed and verified patient eligibility for coverage and benefits.
- Communicated with healthcare providers to ensure accurate benefit information.
- Educated patients on their insurance options and benefits available.
- Collaborated with team members to resolve complex benefit inquiries.
- Maintained accurate patient records in electronic health systems.
- Processed prior authorization requests for medical services and procedures.
- Communicated with healthcare providers to gather necessary documentation.
- Followed all Medicare, Medicaid, HIPAA and private insurance regulations and requirements.
- Verified patient's insurance eligibility prior to appointment date for payment purposes.
- Made outbound calls to insurance companies, patients, and physicians to perform eligibility checks for patients.
- Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
- Maintained accurate records on all prior authorizations requested, received, and denied.
Registration Clerk Float
Bates County Memorial Hospital
Butler, MO
02.2023 - 05.2025
- This position floats between all registration departments
- Completed registration paperwork, verifying accurate patient information.
- Answered patient questions and inquiries regarding registration process and documentation.
- Managed high call volumes while accurately directing calls to appropriate departments as needed.
- Entered patient information into payment system accurately for billing purposes.
- Served as a liaison between patients, clinical staff, and administrative personnel to facilitate optimal communication and coordination of care.
- Safeguarded patient privacy with strict adherence to data security protocols related to electronic health records.
- Updated patient contact information to support accurate electronic medical records.
- Assisted other clerks with front desk duties, answering questions and accurately using reservation system.
- Expedited emergency department admissions by quickly gathering necessary information while maintaining a calm demeanor under pressure.
Phlebotomist
Bates County Memorial Hospital
Butler, MO
10.2022 - 12.2024
- Responsible for following all HIPPA guidelines.
- Enhanced patient experience through compassionate care and communication during blood draw procedures.
- Maintained a high level of accuracy in labeling and tracking specimens, ensuring proper testing and timely results.
- Centrifuged blood samples as outlined in clinical protocols.
- Excelled in high-pressure situations, maintaining composure and professionalism during peak hours and emergency scenarios.
New Accounts Representative
Adrian Bank
Adrian, MO
03.2022 - 03.2023
- Enhanced customer satisfaction by efficiently opening new accounts and addressing client inquiries.
- Utilized strong communication skills to establish rapport with customers and provide exceptional service.
- Identified potential fraudulent activities through careful monitoring of account activity, reducing financial risk for both clients and the institution.
- Coordinated with other departments to resolve complex customer issues quickly and effectively, improving overall client satisfaction ratings.
Teller
Great Southern Bank
10.2021 - 03.2022
Temperature Screener & Patient Sitter
Nevada Regional Medical Center
Nevada, MO
07.2020 - 11.2021
- Supported company's pandemic response plan with diligent implementation of temperature screening protocols.
- Demonstrated adaptability by adjusting to changing guidelines and incorporating new procedures into the screening process as needed.
Production Worker
Volt Workforce Solutions
11.2019 - 04.2020
- Supported machine operators in setup and operation of production equipment resulting in efficient runs.
Education
High School Diploma -
Munford High School
Munford, ALSkills
- Customer Service
- Typing
- Multi-line phone systems
- Clerical experience
- Data Entry
- Athena Health
- Emergency Medicine Dispatching
- Medical Office Experience
- Registration data intake
- Problem-Solving
- Insurance verification
- Prior authorization
- Electronic health records
- Patient communication
- Healthcare coordination
- Customer relationship management
- Problem solving
- Attention to detail
- Time management
- Medical terminology knowledge
- Patient scheduling
- Computer proficiency
Timeline
Patient Benefits Advisor /Prior Authorization Representative
Bates County Memorial Hospital
05.2025 - Current
Registration Clerk Float
Bates County Memorial Hospital
02.2023 - 05.2025
Phlebotomist
Bates County Memorial Hospital
10.2022 - 12.2024
New Accounts Representative
Adrian Bank
03.2022 - 03.2023
Teller
Great Southern Bank
10.2021 - 03.2022
Temperature Screener & Patient Sitter
Nevada Regional Medical Center
07.2020 - 11.2021
Production Worker
Volt Workforce Solutions
11.2019 - 04.2020
High School Diploma -
Munford High School