AMITY STREET
Intermountain Healthcare
Heber City,UT
19
years of professional experience
Experienced with insurance verification processes, ensuring accurate and timely handling of patient information. Utilizes strong analytical skills to identify and resolve discrepancies, maintaining seamless operational flow. Knowledge of industry regulations and best practices, contributing to overall efficiency and reduced claim rejections.
Work History
Prior Authorization Representative
3 Years 5 Months- Communicated with insurance companies to determine coverage and benefit eligibility.
- Ensured compliance with HIPAA regulations regarding patient privacy and security measures.
- Actively contributed ideas for process improvement during team meetings or discussions designed to enhance overall efficiency within department.
- Updated patient accounts with accurate billing information, ensuring prompt payment from insurance providers.
- Collected patient information, including demographics and insurance details.
- Managed daily appointment schedules, confirming appointments.
- Collaborated with other departments to resolve any registration-related issues or concerns promptly.
- Provided excellent customer service by addressing needs efficiently and professionally while maintaining patient privacy rights at all times.
- Verified patient insurance eligibility, benefits, and authorization requirements for accurate claim processing.
- Interpreted payer guidelines to resolve coverage discrepancies and reduce billing delays.
- Coordinated with providers and insurers to obtain referrals, authorizations, and documentation.
- Updated account records with precise insurance information and payer status changes.
- Trained staff on verification workflows, payer rules, and documentation standards.
- Communicated coverage limitations and patient responsibility details to support front-desk and billing teams.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
Patient Registration Specialist/Park City Hospital Main Cashier
2 Years 1 Month- Patient Registration
- Scanning, emailing and organizing reports for management.
- Data entry of Patient information
- Billing payments for administration
- Team Building
- Reported or resolved safety issues, hazards, or potential OSHA violations.
- Cross-trained additional employees and adapted workflows to meet current needs.
- Answered incoming telephone calls to provide information and respond to
- Received, answered and responded to telephone calls.
- Scheduled x-rays and lab work for patients.
Receptionist
1 Year 6 Months- Managed multi-line telephone system to answer incoming calls.
- Knowledge of Microsoft programs including Windows 10 and Excel
- Greeted incoming guests, notified personnel of guest arrivals, and directed individuals to correct meeting spaces.
- Ordered, received, and replenished office supply inventory and managed office-wide requisitions.
- Sorted and distributed incoming mail and coordinated mail and courier pickups.
Sales Associate
4 Years 11 Months- Helped customers navigate store, complete sales, and process returns.
- Resolved concerns using strong communication and conflict management skills combined with expert sales abilities.
- Boosted sales consistently, building attractive displays and effectively merchandising products.
Medical Secretary
5 Years 9 Months- Maintained smooth patient flow by handling check-in, check-out, and payment procedures.
- Organized paperwork and entered information for accurate procedure registrations.
- Assisted with billing by acquiring insurance authorizations for procedures and tests ordered by attending physicians.
- Updated patient medical records with direct intake information and transcribed practitioner messages.
- Updated patient charts with demographic and insurance information.
- Facilitated communications by taking detailed clinical phone messages for physicians and staff.
- Maintained privacy and confidentiality of patients in compliance with policies and regulations.
Education
Certified Professional Coder/ICD-9
Cosmetology License
Skills
Directed HIPAA privacy compliance in coordination with patient service workflows.
Streamlined authorization processing for services
procedures
and referral requests.
Applied foundational medical terminology to improve clarity across clinical and administrative communication.
Oversaw insurance verification activities to support accurate coverage review.
Coordinated patient insurance authorizations to help keep cases moving efficiently
HIPAA compliance
Patient referrals
Timeline
Prior Authorization Representative
Intermountain Healthcare
05.2023 - CurrentRead More
Patient Registration Specialist/Park City Hospital Main Cashier
R1 RCM
04.2021 - 05.2023Read More
Receptionist
Transportation Staffing Services
10.2018 - 04.2020Read More
Sales Associate
Reams Boots and Jeans
11.2013 - 10.2018Read More
Medical Secretary
Intermountain Healthcare
09.2007 - 06.2013Read More
International Institute of Hair Design
Cosmetology License
Read More
US Career Institute
Certified Professional Coder/ICD-9
Read More