Arthur Tillitt
Phoenix,AZ
Summary
Brings proven track record of success in determining eligibility and resolving complex cases. Works professionally with clients to develop and implement successful strategies for maximizing services and benefits. Skilled in problem-solving and identifying solutions meeting clients' needs. Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm. Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Overview
31
31
years of professional experience
Work History
Claims Authorization Specialist
United Healthcare
2022.11 - Current
- Work as a Claims Authorization Specialist, demonstrating proficiency in processing and authorizing healthcare claims
- Utilize in-depth knowledge of insurance policies, coding, and claim submission procedures to ensure accuracy and compliance
- Collaborate with colleagues to improve claim processing efficiency and maintain a high level of customer satisfaction
- Actively seeking opportunities to advance and take on additional responsibilities within the company
- Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
- Assisted in training new team members on company policies and procedures for handling authorization requests.
- Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
- Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
United States Postal Service
1993.04 - 2022.07
- Successfully managed various postal offices and operations
- Led and supervised teams of up to 40 employees, fostering a culture of teamwork and excellence
- Provided training, mentorship, and professional development opportunities to employees, resulting in increased job satisfaction and performance
- Achieved exceptional results in optimizing operational processes and achieving company goals
Education
High School Diploma -
Gardena High School
Gardena, CaliforniaSkills
- Management
- Training and Development
- Claims Processing
- Teamwork
- Adaptability
- Leadership
- Claims Management
- Insurance Verification
- HIPAA Compliance
- Prior authorization processing
- Appointment Scheduling
- Documentation and paperwork
- Documentation And Reporting
- Microsoft Office
- Effective communication skills
- Policy Interpretation
- Government relations
- Verbal Communication
- Medicaid knowledge
- Telephone Etiquette
- Benefits Administration
- Fraud knowledge
- Document processing
- Excellent Communication
- Organizational Skills
- Team Collaboration
- Effective Communication
- Relationship Building
- Team building
References
Available upon request.
Timeline
Claims Authorization Specialist
United Healthcare
2022.11 - Current
United States Postal Service
1993.04 - 2022.07
High School Diploma -
Gardena High School