Bridget Temple
Lakeville,MN
Summary
As a current pre-authorization specialist for The Remedy in Vadnis Heights, MN, I ensure that our patients receive the necessary approval and coverage for their healthcare services. My expertise lies in navigating the complex landscape of insurance policies, requirements, and regulations and advocating for our patients to secure the necessary authorizations for their prescribed treatments, procedures, and medications, specifically regarding Ketamine treatments. My previous experience as a patient care technician has allowed me to develop a deep empathy for those facing challenges in accessing the care they need. I am currently seeking a position that will enable me to develop further my skills in healthcare administration, insurance policy interpretation, and patient advocacy, while also providing me with opportunities for growth and advancement within the organization.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Customer Service Representative
Sun Country
Remote
10.2024 - Current
- Resolved customer inquiries efficiently, enhancing overall satisfaction and loyalty.
- Trained new team members on company policies and customer service protocols.
- Managed high-volume call queues while maintaining quality service standards.
- Developed training materials to streamline onboarding processes for new hires.
- Implemented feedback mechanisms to gather customer insights for service improvements.
- Collaborated with cross-functional teams to address complex customer issues effectively.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
- Collaborated with team members to develop best practices for consistent customer service delivery.
- Addressed customer inquiries to ensure satisfaction and foster positive service experience.
- Exhibited high energy and professionalism when dealing with clients and staff.
- Met customer call guidelines for service levels, handle time and productivity.
Prior Authorization Specialist
The Remedy
Vadnis Heights
07.2023 - 08.2024
- Communicate with insurance companies, providers, pharmacies, and patients regarding prior authorizations
- Maintains excellent customer service for all inbound calls from medical providers and pharmacies requesting prior authorizations for prescription medications
- Provides superior customer service through phone/fax management skills, code documentation on a computer, and clinical information for claims
- Review authorizations from the payee to determine approved/denied items and submit appeals if allowed
- Coordinates with providers for further authorization, denial, and appeals process information
- Creates a positive patient experience by being polite, compassionate, and professional.
Intake Specialist
Options Family and Behavior Services
Roseville
03.2023 - 07.2023
- Served as the first business contact for clients (in-person and over the phone)
- Coordinated intakes, verifying insurances, conducting authorizations, and working with billing staff for all clients.
Patient Care Technician (PCT)
Fresenius Medical Care
Minneapolis
12.2022 - 03.2023
- Started, tested, and operated hemodialysis machines
- Documented pre/post-treatment vital signs and weights for patients
- Performed vascular access cannulation and evaluated vascular access pre-treatment
- Monitored patients during venous access
- Worked closely with physicians and nurses during treatment
- Entered all treatment data accordingly.
Lead Benefit Arch Expert
Ulta
Muskegon, MI
01.2015 - 12.2022
- Met all launching and sales goals
- Provided five-star client experience with proven ratings
- Followed all COVID-19 regulations and recommendations
- Maintained and set all appointments.
Frontline/Cashier
Mr. Quicks
Muskegon, MI
01.2010 - 01.2015
- Provide friendly customer service, handled cash, and processed payments
- Maintain strict food safety and sanitation protocols
- Assisted with inventory management and restocking of supplies
- Worked as a team to ensure customer satisfaction and successful revenue growth.
Education
Licensed Cosmetologist -
French Academy of Cosmetology
Spring Lake, MI12.2015
Cosmetology -
Booker School of Cosmetology
Muskegon, MI12.2015
Pre-Requisites/ Psychology -
Muskegon Community College
Muskegon, MI12.2013
High School Diploma -
Reeths Puffer High School
Muskegon, MI12.2011
Skills
- ENGLISH
- COMMUNICATIONS
- LEADERSHIP
- TIME MANAGEMENT
- ORGANIZATION
- CONFLICT MANAGEMENT
- CHARISMATIC
- EMPATHY
- ADAPTABILITY
- MICROSOFT OFFICE
- Insurance procedures
- Records Maintenance
- Understanding of medical terms
- Medical Terminology
- Effective communication skills
- Precertification requirements
- Data Entry
- Eligibility Determination
- Schedule Management
- Appointment Scheduling
- Telephone Etiquette
- Data Compilation
Certification
CPR certification, 01/01/2023
Internship
Intern- Street outreach programs for teens, 01/01/2010, 12/31/2011, Every Woman’s Place - Webster House Youth, Muskegon, MI
Timeline
Customer Service Representative
Sun Country
10.2024 - Current
Prior Authorization Specialist
The Remedy
07.2023 - 08.2024
Intake Specialist
Options Family and Behavior Services
03.2023 - 07.2023
Patient Care Technician (PCT)
Fresenius Medical Care
12.2022 - 03.2023
Lead Benefit Arch Expert
Ulta
01.2015 - 12.2022
Frontline/Cashier
Mr. Quicks
01.2010 - 01.2015
Licensed Cosmetologist -
French Academy of Cosmetology
Cosmetology -
Booker School of Cosmetology
Pre-Requisites/ Psychology -
Muskegon Community College
High School Diploma -
Reeths Puffer High School