Beth Edmunds

Managed a high volume of prior authorizations, referrals and appeals, ensuring timely processing and compliance with insurance guidelines. Coordinated communication between patients, providers, and insurance companies to resolve issues efficiently and minimize delays or denials. Reviewed and verified medical documentation, eligibility, and benefits information for accuracy while maintaining strict HIPAA compliance. Streamlined workflow processes and improved turnaround times through effective cross-department communication. Supported clinical staff with timely status updates and obtained necessary documentation for authorization requests. Contributed to team productivity by consistently meeting performance targets and assisting in training new staff on policies and procedures. Lead front desk operations, including patient check in, scheduling, and correspondence, while delivering professional and responsive customer service.

Handled high volume incoming calls, scheduled appointments, and directed patients to the appropriate departments or providers. Processed referrals, collected patient information and medical histories, and created and maintained electronic medical records. Managed document scanning and filing to support patient care, processed medication refill requests, and verified insurance information for accuracy and processing. Recognized for strong performance and reliability, which led to promotion into a front desk leadership role.

In that role as front desk supervisor, I greeted patients and managed check in/check out processes, verifed insurance information and maintained accurate patient records. Coordinated and managed scheduling for 12 providers, ensuring appointments aligned with physician preferences, time constraints, and overall workflow efficiency. Scheduled follow up visits based on provider recommendations while maintaining organized documentation and patient files. Collected copays and processed payments for services and products, including end of day balancing and reconciliation. Communicated effectively with providers, staff, and patients to support quality care and a positive experience. Handled high volume phone communication, including new patient registration and coordination with outside healthcare offices as needed.

Managed day to day operations for a cabinetry business generating approximately $800K annual revenue. Served as the primary liaison between multiple manufacturers and customers, coordinating orders, product specifications, pricing, and timelines. Provided detailed quotes and guidance on materials, construction, and product applications to support customer decision making. Oversaw order processing and follow up to ensure accuracy and customer satisfaction, while resolving complex service and billing issues through research and problem solving. Improved office efficiency by developing streamlined processes, reorganizing filing systems, and creating standardized forms for ordering, invoicing, and job tracking. Managed purchasing of supplies and equipment within budget, and conducted research on materials and vendors to support business operations. Maintained strong client relationships through responsive communication and consistent service.