Bre’Anna Hampton
Mount Clemens,MI
Summary
Professional coordinator with deep expertise in managing authorization processes within healthcare settings. Skilled in navigating complex regulatory environments, ensuring compliance, and streamlining workflows. Strong emphasis on team collaboration and achieving high-impact results, adaptable to changing needs. Reliable problem-solver with focus on communication, organization, and patient advocacy.
Overview
8
8
years of professional experience
Work History
Prior Authorization Coordinator
Michigan Orthopaedic Surgeons
Southfield, MI
07.2025 - Current
- Submit and track prior authorizations for specialized services ( nerve block injections, spinal injections, DME) via payer portals to direct communication
- Review medical necessity guidelines and gather precise clinical notes and results required by insurance carriers to secure approvals
- Monitor pending or denial authorizations, manage the appeal process and process necessary out-of-network expectations
- Update surgery scheduling and clinical teams on approval status; communicate with patients to resolve outstanding information and explain coverage if needed
- Initiate authorization for imaging ( MRI, CT, Ultrasound) via payer portals
- Prioritize authorizations by urgency
- Reviewed and verified eligibility and benefits information to streamline authorization processes.
- Implemented process improvements that enhanced efficiency in authorization workflows.
- Improved patient satisfaction by efficiently managing prior authorization requests and ensuring timely approvals.
- Reduced errors in documentation by meticulously reviewing medical records and verifying patient information.
Prior Authorization Specialist
Michigan Healthcare Professionals
Madison Heights, MI
11.2023 - 03.2025
- Performs initial benefit verification and pre-surgical authorization for new pre-surgical cases by working closely with all payers
- Handled multiple authorization requests efficiently across various payers.
- Easily manages multiple authorization requests at once
- Documented case status, actions, and outcomes in patient boarding pack to maintain accurate records
- Updated patient insurance and demographics information.
- Collaborated with healthcare providers to obtain necessary information for efficient approval processes.
- Initiate authorization for colonoscopy, EGD, and general surgical procedures
Clerical Associate II
McLaren Rehabilitation Services
Clinton Township, MI
07.2022 - 05.2023
- Obtained prior authorization for appointments.
- Greet and welcome guests upon their arrival into the medical facility.
- Answer, screen and forward incoming phone calls to the necessary personnel or department.
- Ensure reception area is tidy and presentable, with all necessary stationery and material that will be needed to perform the role.
- Provided accurate information in-person and via phone/email regarding billing, patient charts, scheduling, and referrals, enhancing patient experience.
- Verified insurance coverage for all new and current patients prior to appointments
- Ordered office supplies for front desk to ensure availability for daily operations. and keep track of stock.
- Ensure reception area is tidy and presentable, with all necessary stationery and material that will be needed to perform role.
- Perform other clerical receptionist duties such as filing, photocopying, transcribing, and faxing.
- Arrange travel and other accommodations for patients as needed.
- Assisted in scheduling appointments, optimizing workflow efficiency for clinic operations.
Administrative Assistant
MacLellan Integrated Services
Sterling Heights, MI
08.2018 - 03.2021
- Maintained payroll information by tracking employee in/out times for HR processing
- Facilitated onboarding process for new hires to ensure smooth integration into company culture.
- Answers all incoming calls, emails, and inquiries from various companies
- Keep track of vacations and points on excel spreadsheet
- Notify employees on important policy changes, and other company information
- Monitored vacation requests and maintained accurate records in an Excel spreadsheet. and points on excel spreadsheet
- Communicated important policy changes and company information to employees to keep them informed. on important policy changes, and other company information
- Organized and kept hard copy records for employees' file
- Review and verify invoices
- Organized and managed hard copy records for employee filess
- Managed scheduling and calendar appointments for executives, ensuring optimal time management.
Education
High school Diploma -
Roseville High School
Roseville, MI05.2015
Skills
- Data Entry
- EMR and EHR Systems
- Insurance Verification
- Medical Terminology
- HIPAA Compliance
- Microsoft Office Suite
- Microsoft Office Suite
- Problem-Solving
- Communication
- Typing
- Active Listening
- Patient Advocacy
- Appeals management
Timeline
Prior Authorization Coordinator
Michigan Orthopaedic Surgeons
07.2025 - Current
Prior Authorization Specialist
Michigan Healthcare Professionals
11.2023 - 03.2025
Clerical Associate II
McLaren Rehabilitation Services
07.2022 - 05.2023
Administrative Assistant
MacLellan Integrated Services
08.2018 - 03.2021
High school Diploma -
Roseville High School