Dorothy English
Wooster,OH
Summary
Detail-oriented professional with experience in patient registration, medical documentation, and insurance verification. Strong skills in empathic communication and follow-up help support accurate records and positive client experiences. Reliable handling of crisis situations and sensitive information.
Overview
1
1
Certification
4
4
years of professional experience
Work History
Intake Specialist
One-Eighty
Wooster, Ohio
05.2025 - 03.2026
- Conducted initial intake interview to gather comprehensive client information, ensuring accurate assessment of needs and eligibility for services.
- Verified eligibility and documentation for program admission
- Updated patient information in computer system, ensuring accuracy for billing and enhancing data integrity.
- Maintained positive demeanor during client interactions, effectively de-escalating crisis situations to promote a supportive environment.
Prior Authorization Specialist
PMG
Millersburg, OH
01.2022 - 03.2025
- Submitted authorization requests through payer portals and electronic health record systems.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
- Reviewed clinical documentation for completeness before PMG authorization submission, reducing chances of delays.
- Tracked pending approvals, denials, and renewals for PMG patient cases to ensure timely processing.
- Communicated with insurers, clinics, and patients regarding authorization status.
- Resolved payer questions and corrected missing information for PMG requests, facilitating smoother authorization outcomes.
- Coordinated with other departments to obtain additional information needed for prior authorization.
Education
CBCS - Medical Biller And Coder
Valley College
Brookpark11-2021
Skills
- Eligibility verification
- Intake interviewing
- Patient registration
- Medical documentation
- Billing accuracy
- Client assessment
- Records management
- Effective communication
- Attention to detail
- Client intake
- Critical thinking skills
- Appointment scheduling
- Insurance verification
- Scheduling appointments
- Client relations
Certification
NHA Certified medical biller and coding
Accomplishments
Academic Excellence
Timeline
Intake Specialist
One-Eighty
05.2025 - 03.2026
Prior Authorization Specialist
PMG
01.2022 - 03.2025
CBCS - Medical Biller And Coder
Valley College