BETHANY PAUL HEBERT
Patterson
Summary
Talented Prior Authorization Representative with years of implementing strategies to secure authorizations for clinical procedures. Expert delivering continuous clinical quality improvement. Superb influencing skills to communicate with credibility, tact and diplomacy.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Insurance Verification & Prior Authorization Rep
McKesson - Covermymeds (Remote)
Morgan City
12.2025 - Current
- Managed prior authorization requests for medications and services efficiently.
- Collaborated with healthcare providers to gather necessary documentation.
- Utilized electronic systems to track and process authorization requests accurately.
Office Manager
GulfCoast Intergrative Health/Morella Physical Therapy
Morgan City
01.2023 - 12.2025
- Management
- Patient Intake
- Insurance Verification: Medicare, Medicaid, Commercial, VA, Workers Compensation, Attorney, Supplemental Insurance Plans
- Authorizations: Physical Therapy - submitting of prior authorization via insurance portals: Availity, Cohere, Optum, ASHlink, My Insurance Manager, Novitasphere, Humana Military, Tricare, Gulfsouth Risk, UMR, Sedgwick, Blue Advantage, Louisiana Medicaid
- Credentialing
- Collections
- Billing/Coding
- Inventory
- HIPPA compliance
Insurance Verification Specialist
Orthopedic Sports Specialist of Louisiana (OrthoLA)
Thibodaux
03.2021 - 01.2023
- Ensure accuracy of insurance information that is entered into patient records; updated as needed.
- Obtain/verify medical necessity for procedures
- Verify insurance eligibility and benefits utilizing automated eligibility systems, payer portals, or telephone communications.
- Request, obtain, and track prior authorizations for physical therapy, occupational therapy, and durable medical equipment(DME)
- Tracking and labeling of injections for medical providers (orthopedic surgeons)
- Obtain benefit details including deductibles, coinsurance, and out-of-pocket predeterminations
- Prepare an accurate estimate of patients out of pocket cost, communicate estimated Finicial responsibility to patients.
- Document appropriate information in patients medical record, ensuring that all documentation is entered accurately and timely.
- Provide ongoing, detailed, and timely communication of any changes or delays to payers, facilities, patients, and team members.
- HIPPA compliance
Patient Service Representative - Physical Therapy Technician
GulfCoast Orthopedics
Morgan City
08.2019 - 03.2021
- Management of front desk operations
- Patient intake Scheduling
- Insurance Verification
- Obtaining authorizations
- Medical documentation
- HIPPA compliance
Receptionist
Teche Action Clinic
Pierre Part
10.2017 - 08.2019
- Record and update patient information
- Educate patients on their rights, responsibilities, complaint process, provider services, and services offered by company
- Schedule for multiple providers: Family medicine, pediatrics, obgyn, labs, and behavioral health
- Scheduling through CGM Enterprise and EHR systems - current, follow up, and hospital follow up appointments
- Insurance Verification
- Obtaining authorizations
- Medical re-fill request
- Collect, record, and post payments/fees
- Complete deposit tickets
- Remind patients of upcoming appointments
Medical Assistant Externship
Medicine Clinic of Morgan City
Morgan City
03.2019 - 07.2019
- Patient scheduling
- Vital intake
- Administering of injections
- Triage
- Coding
- HIPPA compliance
Education
Bachelor of Science - Criminal Justice Administration
University of Phoenix
Certified Medical Assistant -
Blue Cliff Community College
Houma, LAPatterson High School -
Patterson High School
Skills
- Patient care
- Medical documentation
- Insurance verification
- Prior Authorizations
- Administrative duties
- Management
- Interpersonal abilities
- Team work ethic
- Time management
- Communication skills
- HER (electronic Health Records)
- Ability to work in fast-paced environments
Certification
- CPR
- AED
- Certified Phlebotomy Technician
- First Aid
- CCMA
- BLS
References
- Anthony "Chip" Morella, Clinical Director/Physical Therapist, Morella Physical Therapy, 985-518-3023
- Kyle Guidry, Clinical Director/Physical Therapist, GCO Orthopedics, 985-258-1909
- Joshua Lorenzo, Physical Therapist, Morella Physical Therapy, 985-519-2827
Timeline
Insurance Verification & Prior Authorization Rep
McKesson - Covermymeds (Remote)
12.2025 - Current
Office Manager
GulfCoast Intergrative Health/Morella Physical Therapy
01.2023 - 12.2025
Insurance Verification Specialist
Orthopedic Sports Specialist of Louisiana (OrthoLA)
03.2021 - 01.2023
Patient Service Representative - Physical Therapy Technician
GulfCoast Orthopedics
08.2019 - 03.2021
Medical Assistant Externship
Medicine Clinic of Morgan City
03.2019 - 07.2019
Receptionist
Teche Action Clinic
10.2017 - 08.2019
Bachelor of Science - Criminal Justice Administration
University of Phoenix
Certified Medical Assistant -
Blue Cliff Community College
Patterson High School -
Patterson High School