Detail-oriented Insurance Authorization Specialist skilled in processing requests, maintaining records, and enhancing patient care. Proven ability to improve efficiency and accuracy in insurance authorization outcomes.
Work History
Insurance Authorization Specialist
2 Years 10 Months
USPh - Mission Physical Therapy | 11.2023 - Current
Processed insurance authorization requests efficiently and accurately to ensure patients receive approved care in a timely manner.
Processed insurance authorization requests efficiently to ensure patients receive approved care in a timely manner.
Communicated with healthcare providers to obtain appropriate information and documentation for authorization requests.
Worked with direct partnerships such as the local medical groups, military hospitals, and the VA's Community Care Network to obtain authorizations and referrals for patients across all demographics.
Maintained detailed records of authorization requests and outcomes in electronic systems and utilized reports to improve the authorization request experience to increase efficiency over time.
Resolved discrepancies in authorization claims through thorough investigation and communication.
Managed patient scheduling and appointment confirmations to enhance workflow efficiency.
Greeted patients warmly, provided exceptional customer service regarding patient care, and maintained a clean, organized, & decorated waiting area to welcome patients.
Maintained HIPAA compliant patient records using company-secured electronic medical record (EMR) system for compliance and accessibility.
Trained new staff on front desk procedures to ensure consistent service standards across the company.
Implemented new processes that streamlined check-in procedures, reduced no-show rates, and maintained consistent patient scheduling.
Assistant Bar Manager
2 Years 1 Month
ClubCorp - The Baylor Club | 08.2017 - 09.2019
Assisted in managing daily bar operations within a private dining club to ensure smooth service and member satisfaction.
Trained new staff on required quality of service and extensive knowledge of classic and modern techniques and recipes.
Created weekly staff schedules in addition to assigning daily tasks to team members to ensure productive service in high volume and face-paced environments.
Implemented accurate inventory management systems to optimize stock data and to comply with state regulations regarding private club member rules.
Assisted in other areas of the member dining room and private event rooms for special events by utilizing cross-trained knowledge of food service positions.
Managed a VIP stadium suite during college football season to ensure the university's president and guests maintained a enjoyable game-day experience.
Private Event Server & Bartender
2 Years 10 Months
ClubCorp - The Baylor Club | 10.2014 - 08.2017
Delivered exceptional service during private events and within the members' private dining room, ensuring member satisfaction and outstanding service.
Collaborated with multiple club departments to ensure private events were designed as contracted and food service was executed superbly per event's requirements.
Supervised multiple private loge box suites within the stadium during college football season to provide exceptional game-day experiences to the university's reputable figures.
Education
Bachelor of Science - Neuroscience
Baylor University | Waco, TX | 05.2018
Completed coursework in neuroscience, psychology, and other science subjects