Summary
Overview
Work History
Education
Skills
Timeline
Generic

Cassidy Graden

Medford

Summary

Tech-savvy innovator with a strong track record in emerging technologies and a relentless drive for continuous improvement. Recognized for identifying opportunities for technological enhancements and successfully implementing effective solutions. Proficient in leveraging new tools and methods to solve complex problems and enhance productivity. Thrives in fast-paced environments, consistently driving technological advancements to achieve organizational success.

Overview

6
6
years of professional experience

Work History

Financial Clearance Coordinator

Medisys
10.2023 - Current
  • Researched and informed teams of upcoming insurance changes
  • Entered data, generated reports, and produced tracking documents.
  • Served as a coordinator between different departments and clinics
  • Enhanced operational workflows by maintaining well-organized documentation systems and updating records accurately as needed.
  • Developed and created a Macro Excel in order to compile all HCPCS Authorization requirements
  • Analyzed and problem solved workflows within designated departments
  • Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
  • Analyzed medical records and other documents to determine approval of requests for authorization.
  • Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
  • Provided training to new staff members on the intricacies of various insurance plans and their specific prior authorization requirements.

Clinical Liaison/Administrative Assistant

Glucose Guards
05.2022 - 07.2023
  • Performed monthly clinical evaluations by collecting data, and creating documents for the Physicians.
  • Responded to and investigated complaints and concerns of patients.
  • Evaluated patient satisfaction and made suggestions for changes or improvements.
  • Enhanced care coordination by collaborating with healthcare providers, patients, and families to develop comprehensive care plans.
  • Enriched patient experience by coordinating multidisciplinary team meetings to review individualized goals and progress updates regularly.
  • Cultivated productive relationships with referral sources, leading to increased admissions for the facility.
  • Conducted thorough assessments of patients'' medical histories, diagnoses, prognoses, medications, and treatment goals to determine eligibility for specific programs or services.
  • Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.

Prior Authorization Specialist

Sight MD
08.2021 - 05.2022
  • Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
  • Provided exceptional customer service, addressing inquiries from both patients and healthcare providers promptly and professionally.
  • Improved patient satisfaction by efficiently processing prior authorization requests and ensuring timely responses.
  • Streamlined workflow for faster approval turnaround times, handling high volume of insurance verification tasks.
  • Fielded telephone inquiries on authorization details from plan members and medical staff.
  • Supported continuous improvement initiatives by actively participating in meetings, providing feedback, and suggesting areas for improvement.
  • Increased accuracy of insurance coverage validation by utilizing available tools and resources to verify eligibility requirements quickly.
  • Authorized surgical requests in accordance with applicable plan guidelines.


Front Desk Medical Receptionist

Pequa Physical Therapy
03.2021 - 08.2021
  • Checked patient insurance, demographic, and health history to keep information current.
  • Helped patients complete necessary medical forms and documentation.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Managed a high volume of incoming calls, addressing inquiries, and providing exceptional customer service to patients.
  • Provided administrative support to medical staff, assisting with various clerical tasks as needed.
  • Handled financial transactions related to copayments or self-pay fees while adhering to company policies regarding payment collection.
  • Coordinated appointment reminders for patients via phone calls or email notifications, reducing no-show rates.

Customer Service Cashier

Kohls Dept Store
08.2020 - 07.2021
  • Maintained a clean and organized workspace, promoting a welcoming environment for customers.
  • Handled high-pressure situations calmly, maintaining composure during busy periods or difficult interactions.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Processed customer orders and accurately handled payment transactions.
  • Developed and managed relationships with customers to increase customer loyalty.
  • Answered product questions using knowledge of sales and store promotions.

PeaPod Shopper

Stop & Shop
03.2019 - 08.2019
  • Maintained high satisfaction ratings by completing orders quickly and making good selections for customers.
  • Placed completed orders in labeled, temperature-appropriate storage pending customer pick up.
  • Reviewed customer orders closely to locate desired items and checked app regularly to identify changes.
  • Demonstrated speed and accuracy in order item selection.
  • Tracked substitutions and informed customers of changes.
  • Verified each item matched order sheet's description.
  • Consistently met deadlines and quality goals for accuracy and timeliness.

Education

Business Administration

SUNY Farmingdale
12-2025

Long Island University
05-2020

Advanced Regents Diploma -

Patchogue Medford High School
06.2019

Skills

  • Proficiency in Medical Terminology
  • Data entry
  • Multitasking and organization
  • Process improvement
  • Project assistance
  • Business analysis
  • Healthcare IT
  • Healthcare industry
  • Change management techniques

Timeline

Financial Clearance Coordinator

Medisys
10.2023 - Current

Clinical Liaison/Administrative Assistant

Glucose Guards
05.2022 - 07.2023

Prior Authorization Specialist

Sight MD
08.2021 - 05.2022

Front Desk Medical Receptionist

Pequa Physical Therapy
03.2021 - 08.2021

Customer Service Cashier

Kohls Dept Store
08.2020 - 07.2021

PeaPod Shopper

Stop & Shop
03.2019 - 08.2019

Business Administration

SUNY Farmingdale

Long Island University

Advanced Regents Diploma -

Patchogue Medford High School
Cassidy Graden