Carrie Granger
Jackson
Summary
Healthcare professional with extensive experience at Henry Ford Hospital, specializing in insurance verification and authorization processing. Demonstrated success in optimizing workflow management and providing exceptional customer service. Expertise in training and development, promoting team collaboration to ensure compliance and efficiency in high-pressure settings.
Overview
10
10
years of professional experience
Work History
Central Authorization Specialist
Henry Ford Hospital
Jackson
07.2017 - Current
- Coordinated communication between providers, patients, payers, and other departments as needed.
- Provided customer service to internal and external customers related to authorization requests.
- Tracked authorization statuses using electronic databases or manual filing systems.
- Entered data into electronic medical record system accurately and efficiently.
- Conducted training sessions for new employees regarding company policies related to the authorization process.
- Monitored daily workflow queues within the department ensuring all tasks are completed accurately and timely.
- Verified insurance authorizations with payers via telephone or web-based systems.
- Reviewed authorization requests for accuracy and completeness.
Referral Specialist
Center For Family Health
Jackson
10.2015 - 07.2017
- Monitored changes in payer policies related to referral processing and communicated those changes internally.
- Coordinated with provider offices to ensure timely completion of referrals prior to scheduled appointments.
- Verified insurance eligibility for referred services using online databases and contacted insurers directly when needed.
- Communicated regularly with referring physicians, nurses, case managers, social workers, and other healthcare professionals regarding referral processes and requirements.
- Processed incoming referral requests for medical services and submitted them to the appropriate insurance companies for authorization.
- Assisted patients in understanding their insurance coverage and answered questions about referrals, authorizations, and other related issues.
Admissions Director
Lubbock Hospitality
Lubbock
01.2015 - 10.2015
- Supervised day-to-day functions of admissions department.
- Managed the entire admissions process for a nursing home facility.
- Ran benefits for each potential resident.
- Conducts assessments of potential residents to determine their needs and suitability for the facility.
- Builds and maintains relationships with referral sources, such as hospitals, discharge planners, and community organizations.
- Ensures all required admission paperwork is completed accurately, and maintained according to regulations.
- Manage and train admissions staff, including coordinators and representatives.
- Ensures all admissions practices comply with relevant state and federal regulations.
Education
High School Diploma -
Northwest High School
Jackson05-2007
Skills
- Insurance verification
- Electronic medical records
- Data entry accuracy
- Authorization processing
- Healthcare compliance
- Workflow management
- Customer service
- Training and development
- Time management
- Problem solving
- Team collaboration
Timeline
Central Authorization Specialist
Henry Ford Hospital
07.2017 - Current
Referral Specialist
Center For Family Health
10.2015 - 07.2017
Admissions Director
Lubbock Hospitality
01.2015 - 10.2015
High School Diploma -
Northwest High School
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