Brooke Williams
Gibson City,IL
Summary
Adept at streamlining prior authorization processes, I enhanced client satisfaction and retention at Domino Transport by leveraging strong relationship-building skills and comprehensive knowledge of medical terminology. At Gibson Area Hospital, I significantly contributed to reducing infection risks and improving compliance through meticulous attention to detail and proactive process improvements.
Hardworking Prior Authorization Specialist with successful background working closely with insurance company representatives to gain preapproval for procedures and testing. Detail-oriented performer with over three years of managing documentation. Considered team player with exemplary multitasking skills.
Overview
9
9
years of professional experience
Work History
Prior Authorization Specialist
Gibson Area Hospital and Health Services
07.2022 - Current
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Verified eligibility and compliance with authorization requirements for service providers.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Analyzed trends in denied requests to identify opportunities for process improvement and training.
Central Sterile Processing Technician
Gibson Area Hospital and Health Services
09.2021 - 07.2022
- Fostered a team-oriented environment by actively participating in staff meetings, sharing knowledge with peers, and providing constructive feedback on departmental performance.
- Ensured compliance with industry regulations through regular audits of sterilization equipment and documentation practices.
- Supported successful surgeries by promptly addressing any issues or concerns related to instrument availability or condition.
- Promoted a culture of continuous improvement by identifying opportunities for process enhancements within the department.
- Reduced the risk of infection in patients by maintaining a clean and organized central sterile processing area.
Account Manager
Domino Transport
12.2016 - 09.2021
- Increased client satisfaction by building strong relationships and addressing their needs promptly.
- Maintained high client retention rate by providing exceptional customer service and anticipating client needs.
- Managed a diverse portfolio of accounts, ensuring timely communication and effective problem resolution.
- Successfully resolved escalated issues, preventing potential loss of valuable clients while maintaining positive relationships with all parties involved.
- Developed and maintained strong working relationships with professionals within assigned territory.
- Performed effectively in self-directed work environment, managing day-to-day operations and decisions.
- Uploaded time records into computer system and made adjustments to create accurate database for payroll processing functions.
- Maintained organized filing system for financial records, enabling easy access during audits or other review processes.
- Maintained records by imaging invoices, debits, and credits.
Sterile Processing Technician
OSF St. Joseph Medical Center
01.2016 - 09.2017
- Wrapped trays, instrument packs, and sets.
- Followed OSHA, FDA and AAMI guidelines related to sterilization in compliance with administrative regulations.
- Supported surgical teams effectively by preparing instrument trays according to procedure requirements.
- Reduced risk of infections by maintaining a clean and sterile environment within the processing area.
Education
High School Diploma -
Ridgeview
Colfax05-1997
Skills
- Prior authorization process
- Medical terminology
- Medical appeals handling
- Insurance verification
Timeline
Prior Authorization Specialist
Gibson Area Hospital and Health Services
07.2022 - Current
Central Sterile Processing Technician
Gibson Area Hospital and Health Services
09.2021 - 07.2022
Account Manager
Domino Transport
12.2016 - 09.2021
Sterile Processing Technician
OSF St. Joseph Medical Center
01.2016 - 09.2017
High School Diploma -
Ridgeview
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