Amy Howard
Mitchell
Summary
Dynamic Insurance Authorization Specialist with Avera Health, recognized for enhancing authorization accuracy and streamlining workflows. Proficient in prior authorization and documentation management, I excel in effective communication and teamwork, achieving significant reductions in claim denials while ensuring compliance with HIPAA regulations. Committed to improving patient experiences through meticulous attention to detail.
Overview
16
16
years of professional experience
Work History
Insurance Authorization Specialist
Avera Health
10.2023 - 05.2025
- Collaborated with healthcare providers to ensure proper documentation for successful authorizations.
- Increased efficiency of the authorization process with effective communication among multidisciplinary teams.
- Streamlined workflow processes for faster turnaround times, using data-driven approaches and continuous improvement techniques.
- Achieved higher accuracy rates in authorizations, utilizing attention to detail and organizational skills.
- Ensured compliance with industry regulations by staying up-to-date on policy changes and updates.
- Coordinated pre-authorization requirements for medical treatments or services, enhancing overall patient experience before appointments.
- Reduced claim denials by diligently reviewing and correcting errors in authorization submissions.
- Managed high-volume caseloads to meet strict submission deadlines, prioritizing tasks accordingly.
Hospital Admissions Supervisor
Avera Health
10.2013 - 10.2023
- Implemented effective policies and procedures to mitigate risk, maintain regulatory compliance, and promote a safe working environment for both staff and patients.
- Mentored junior staff members, providing guidance on best practices for patient care management and professional development opportunities.
- Evaluated team performance data to identify areas requiring additional support or intervention, proactively addressing potential issues before they escalated into larger problems.
- Managed staffing levels efficiently, ensuring adequate coverage during peak times and reducing labor costs.
- Coordinated emergency response efforts during critical incidents, effectively managing resources to minimize disruption to routine operations.
- Spearheaded initiatives aimed at improving overall workplace culture, resulting in higher employee morale and increased job satisfaction scores among staff members.
- Streamlined patient admissions process, resulting in reduced wait times and improved overall experience for patients and their families.
Convenience Store Manager
Jack's Sinclair
03.2009 - 10.2013
- Ensured compliance with all local, state, and federal regulations related to store operations, safety protocols, and licensing requirements.
- Safeguarded store and engaged in cash and inventory control through security equipment and procedures and eliminated store liability by adherence to applicable alcohol and tobacco regulations.
- Handled cash transactions accurately while maintaining strict adherence to financial controls and security procedures.
- Maintained high standards of cleanliness and organization within the store to create a pleasant shopping experience for customers.
- Developed strong relationships with vendors to ensure timely deliveries and negotiate favorable pricing deals.
- Completed daily paperwork on sales reporting, banking and payroll reporting.
- Managed appropriate inventory levels of product at store to avoid shrink and waste, placed orders for inventory running low and evaluated sales performance of items to plan for future stocking strategy.
- Optimized product assortment by regularly evaluating sales performance data and adjusting stock levels based on demand fluctuations.
- Balanced multiple priorities simultaneously during peak business hours without sacrificing quality or customer satisfaction levels.
- Fostered an inclusive and diverse work environment by promoting a culture of teamwork, open communication, and mutual respect amongst all employees.
- Managed employee hours to set schedule and store operation budget appropriately, personally covering cashier shifts and general store duties to minimize store labor cost during slow hours.
- Managed daily store operations for optimal performance, including opening, closing, and staff scheduling.
Education
High School Diploma -
Mitchell High School
Mitchell, SDSkills
- HIPAA compliance
- Active listening
- Teamwork orientation
- Professionalism and ethics
- Documentation management
Strong communication skills
- Medical billing
- Effective communication skills
- Critical thinking
- Data entry
- Claim research
Accomplishments
- Documented and resolved incorrect calculations within our estimate program which led to working with the program creator to update the background calculators to calculate correct results across all platforms and insurance companies.
- Trained and supported 240+ employees across the region when implementing a new web-based, fully integrated Electronic Health Record (EHR) system.
Timeline
Insurance Authorization Specialist
Avera Health
10.2023 - 05.2025
Hospital Admissions Supervisor
Avera Health
10.2013 - 10.2023
Convenience Store Manager
Jack's Sinclair
03.2009 - 10.2013
High School Diploma -
Mitchell High School
Similar Profiles
Barb KleinBarb Klein
Application Support Analyst at Avera HealthApplication Support Analyst at Avera Health
Kacy PetersonKacy Peterson
Laboratory Service Line Administrator at Avera HealthLaboratory Service Line Administrator at Avera Health
Mallory DahlhoffMallory Dahlhoff
Clinical Nurse Intern at Avera HealthClinical Nurse Intern at Avera Health
Dylan BuchholzDylan Buchholz
Aide, Infant Lead, Interim Director at Center for Children and FamiliesAide, Infant Lead, Interim Director at Center for Children and Families
Justin FordJustin Ford
Housekeeper at Avera Gregory HospitalHousekeeper at Avera Gregory Hospital