Andrea Ramsey
Okeana,OH
Summary
At Ensemble Health Partners, I excelled as an Insurance Authorization Specialist, leveraging my expertise in prior authorization and strong communication to streamline processes and enhance patient care continuity. My proactive approach and adept use of software improved workflow efficiency and fostered robust relationships with physicians, significantly contributing to successful insurance verifications and patient referrals.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Insurance Authorization Specialist
Ensemble Health Partners
09.2017 - Current
- Ensured continuity of care for patients by tracking expiring authorizations and initiating renewals as needed.
- Streamlined workflow processes for faster turnaround times, using data-driven approaches and continuous improvement techniques.
- Tracked referral submission during facilitation of prior authorization issuance.
- Verified client information by analyzing existing evidence on file.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Developed strong working relationships with physicians'' offices resulting in a smoother flow of required documents when submitting requests.
- Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
Education
Medical Billing And Coding - Medical Genetics
Southwestern
Florence, KYSkills
- Prior authorization
- Strong communication skills
- HIPAA compliance
- Active listening
- Retro-authorizations
- Insurance procedures
- Knowledgeable in software
- Patient referrals
Certification
Certified Revenue Cycle Representative
Timeline
Insurance Authorization Specialist
Ensemble Health Partners
09.2017 - Current
Medical Billing And Coding - Medical Genetics
Southwestern