Brenda Miller
Quarryville,Pa
Summary
Detail oriented healthcare administrative professional with extensive experience in prior authorization coordination. Utilizes excellent organizational skills to maintain accurate records and ensure timely approvals. Self-motivated work ethic to perform effectively in independent or team environments. Familiar with MS Office and Epic EHR system coupled with through knowledge of medical terminology.
Overview
7
7
years of professional experience
Work History
Insurance Verification Specialist
MRI Group
10.2024 - 10.2025
- Conducted comprehensive insurance verifications, ensuring accuracy of patient information and coverage details.
- Collaborated with healthcare providers to resolve discrepancies in insurance claims and billing processes.
- Analyzed insurance policies to determine eligibility and benefits for various medical procedures.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Updated patient records with accurate, current insurance policy information.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
Central Supply Clerk/Medical Records Clerk
Ware Presbyterian Village
06.2024 - 09.2024
- Coordinated inventory management and supply distribution across multiple departments.
- Streamlined order processing procedures to enhance operational efficiency.
- Streamlined inventory management by implementing an efficient organization system for medical supplies.
- Safeguarded patient privacy by adhering strictly to HIPAA regulations when handling sensitive information related to medical supply use or distribution.
- Managed organization and storage of medical records ensuring compliance with regulations.
- Implemented electronic filing system improving retrieval efficiency and accuracy.
- Uploaded physician progress notes, history, and physicals into Matrix electronic medical records.
Surgical Authorization Rep
Lancaster Orthopedic Group
06.2022 - 03.2024
- Processed patient authorization requests efficiently, ensuring compliance with insurance protocols.
- Coordinated communication between patients and healthcare providers to streamline authorization workflows.
- Consistently provided prompt follow-up on pending authorizations, ensuring minimal delay in receiving essential medical services.
- Enhanced overall department productivity by consistently meeting or exceeding monthly goals for completed authorizations.
- Managed high-volume workloads while maintaining a high level of accuracy on all submitted authorizations, showcasing strong attention to detail.
- Performed remote administrative support using MS Outlook, Word and Excel.
- Impeccable attendance
Administrative Assistant
Lancaster Orthopedic Group
06.2022 - 03.2024
- Managed scheduling for multiple providers, optimizing appointment flow and reducing patient wait times.
- Coordinated communications between departments, enhancing collaboration and information sharing.
- Maintained compliance with HIPAA regulations, safeguarding patient information and ensuring data security.
- Managed phone and email correspondence and handled incoming and outgoing mail and faxes.
- Opened and properly distributed incoming mail to promote quicker response to client inquiries.
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
- Promoted a positive work environment through effective communication skills and fostering professional relationships among colleagues.
Surgical Authorization Specialist
Orthopedic Associates of Lancaster
11.2018 - 06.2022
- Processed insurance authorizations for orthopedic procedures, ensuring timely approvals and compliance with regulations.
- Collaborated with medical staff to gather necessary documentation for patient authorization requests.
- Managed and maintained accurate records of authorization status within electronic health record system.
- Streamlined authorization workflows, reducing turnaround times for approval notifications to patients and providers.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
- Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
- Maintained productivity and communication standards while working remotely.
Education
High School Diploma -
Penn Manor High School
Millersville, PASkills
- Attention to detail
- Patient confidentiality
- HIPAA compliance
- Insurance verification
- Electronic health records proficiency
- Retro-authorizations
- Utilization review experience
- Prior authorization process
- Medical terminology
- Medical appeals handling
Timeline
Insurance Verification Specialist
MRI Group
10.2024 - 10.2025
Central Supply Clerk/Medical Records Clerk
Ware Presbyterian Village
06.2024 - 09.2024
Surgical Authorization Rep
Lancaster Orthopedic Group
06.2022 - 03.2024
Administrative Assistant
Lancaster Orthopedic Group
06.2022 - 03.2024
Surgical Authorization Specialist
Orthopedic Associates of Lancaster
11.2018 - 06.2022
High School Diploma -
Penn Manor High School