Amelia Schulze
Tremonton
Summary
Experienced with navigating healthcare insurance systems to secure treatment approvals. Utilizes keen attention to detail and knowledge of medical coding to streamline processes. Strong understanding of insurance guidelines and patient advocacy to ensure optimal outcomes.
Overview
11
11
years of professional experience
Work History
Intake /Prior Authorization Specialist
Advantage Medical Supply
03.2023 - Current
- Use various programs and websites to verify eligibility, benefits and covered and billable procedure codes to get authorizations.
- Collaborate with physicians and clinics to obtain necessary clinical information ie progress notes, addendums and letters of medical necessity for correct ICD 10 codes for prior authorization submissions.
- Explain covered benefits and cost shares to patients.
- Track submitted authorizations and appeal denied authorizations. Keep track of ongoing authorizations and renew.
- Answer customer service and billing calls, answer questions and collect payments.
Rural Carrier
United States Postal Service
09.2014 - 03.2023
- Cased, sorted and delivered mail and parcels along established route in rural area with high level of accuracy.
- Communicated customer complaints, requests, and feedback to management for swift resolution.
- Provided excellent customer service, addressing concerns and resolving issues promptly.
- Identified address discrepancies and corrected in a timely manner.
- Assisted in training new employees, sharing best practices for rural carrier duties.
- Collaborated with coworkers to handle overflow or challenging deliveries, optimizing overall team productivity.
- Kept route information updated daily.
Education
High School Diploma -
Box Elder High School
Brigham City, UT05-2001
Skills
- Attention to detail
- Excellent communication
- Self motivation
- Time management abilities
- Customer service
- Computer skills
- Medical terminology
- Insurance verification
- Prior authorization process
- Schedule management
- Organizational skills
Timeline
Intake /Prior Authorization Specialist
Advantage Medical Supply
03.2023 - Current
Rural Carrier
United States Postal Service
09.2014 - 03.2023
High School Diploma -
Box Elder High School
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