Amy Bissacco
Dayton,OH
Summary
Dynamic healthcare administration professional with extensive experience in managing authorization processes and ensuring regulatory compliance. Proven expertise in streamlining workflows and mitigating risks to enhance operational efficiency, while a strong track record of fostering team collaboration drives results in fast-paced environments. Skilled in navigating complex systems and prioritizing tasks, maintaining high standards of accuracy that significantly contribute to the success of healthcare initiatives. A solid background in managing prior authorizations and building positive relationships with healthcare providers and insurance companies underscores a commitment to achieving optimal outcomes amid evolving challenges.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
22
22
years of professional experience
Work History
Prior Authorization Specialist
NYX Health
Work From Home
12.2025 - 06.2026
- Assessed prior authorization requests to verify adherence to insurance policies and protocols.
- Handled high-volume authorization requests efficiently while ensuring precision in data entry.
- Established quality control measures to ensure consistency and compliance with regulatory standards in prior authorizations.
- Evaluated medical records and supporting documents to assess approval of authorization requests.
- Validated eligibility and compliance with authorization requirements for service providers.
- Addressed inquiries from healthcare providers concerning prior authorization requests.
- Managed a high volume of incoming calls, maintaining professionalism while effectively addressing the needs of callers seeking assistance with prior authorizations.
Patient Recruitment Representative
Meridian Clinical Research
01.2022 - 12.2025
- Acquire in-depth knowledge of protocols, medication side effects, FDA regulations, and Meridian’s policies.
- Obtain and manage computerized lists/pod lists.
- Recover messages from study and line in timely manner.
- Conduct return phone calls to prospective patients within 24 to 48 hours.
- Complete screen sheet and administer database.
- Attend in-house meetings and provide status updates to support staff on regular basis.
- Attend community lectures health fairs and events for potential patients.
- Coordinate with potential patients and perform interdepartmental cross-training for all patient core offerings.
- Established and strengthened professional relationships with providers in order to achieve bottom-line outcomes.
- Improved customer satisfaction and assured conformance with internal standards, policies, and procedures.
Pharmacy Technician
CareSource
01.2011 - 01.2021
- Devised and maintained patient pharmacy records as well as processed/managed claims with keen focus on streamlining operations.
- Implemented best practices to initiate prior authorizations, required approval in CAS / client Access systems, and assess non-formulary prior authorizations.
- Cross-trained interdepartmentally for all Medicaid and Marketplace products.
- Streamlined processes by supporting case managers, members, and provider services with pharmacy issues and overrides.
- Resolved issues by responding to calls from physicians’ offices, pharmacy providers, and appointed representatives.
- Increased operational efficiency by training and mentoring staff members.
- Enhanced customer satisfaction by delivering proactive services.
Medical Administrator
Dayton Eye Surgery
01.2004 - 01.2010
- Oversaw all aspects of patient care as well as cultivated safe and welcoming patient environment.
- Steered significant efforts to initiate all pre-registration for incoming surgeries and scheduling.
- Leveraged professional expertise in analyzing and maintaining all medical records.
- Coordinated with wide range of healthcare professionals to ensure excellent delivery of patient care.
- Guaranteed flawless workflow and administered accounts payable/receivable and inquiries from providers/customers.
- Facilitated customers and medical professionals by responding to multiphone lines.
Education
Bachelor of Science -
Bellbrook High School
Certified Nursing Assistant -
Miami Jacobs College
Skills
- Patient Recruitment
- Claims processing
- Long-term planning
- Customer service excellence
- Prior approval coordination
- Efficiency improvement
- Regulatory adherence
- Database administration
- Team leadership
- Collaborative teamwork
Timeline
Prior Authorization Specialist
NYX Health
12.2025 - 06.2026
Patient Recruitment Representative
Meridian Clinical Research
01.2022 - 12.2025
Pharmacy Technician
CareSource
01.2011 - 01.2021
Medical Administrator
Dayton Eye Surgery
01.2004 - 01.2010
Bachelor of Science -
Bellbrook High School
Certified Nursing Assistant -
Miami Jacobs College