Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Chantel Wayne

Saint Charles,MO

Summary

Talented Prior Authorization Representative with years of implementing strategies to secure authorizations for clinical procedures. Expert delivering continuous clinical quality improvement. Superb influencing skills to communicate with credibility, tact and diplomacy. Trustworthy professional offering a keen understanding of the latest insurance requirements for prior authorizations. Determined Prior Authorization Specialist boasting extensive claim researching and effective collaboration skills with other members of the office staff.

Overview

15
15
years of professional experience
1
1
Certification

Work History

Beneficiary Support Representative

Express Employment
Maryland Heights, MO
01.2023 - 03.2026
  • Followed all Medicare, Medicaid, HIPAA, and private insurance regulations and requirements.
  • Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
  • Maintained high level of professionalism when speaking to doctors and insurance companies.

Senior Accountant Resolution Representative

Wells Fargo
Saint Louis, MO
08.2022 - 12.2022

Handled different types of accounts including Roth IRAS
Individual IRA.
Verified and process specific documents to confirm beneficiary information.
Interact with immediate customer resolution team, managers, and senior business leaders.

Prior Authorization Specialist

Express Scripts
St Louis, MO
06.2011 - 08.2022

Discuss medications, insurance and prior authorizations with patients.
Ensure to complete and update patient’s and claim documentation.
Demonstrate compassion while obtaining patient’s health information.

Education

High School Diploma -

Hazelwood Central High School
Florissant, MO
05.2009

Skills

  • Patient insurance authorizations
  • Call center experience
  • Understanding of medical terms
  • Typing 40 WPM
  • Authorizations
  • Organization
  • Basic medical terminology
  • Customer satisfaction
  • Documentation
  • Email support
  • Problem-solving
  • Team building

Certification

CNA

Timeline

Beneficiary Support Representative

Express Employment
01.2023 - 03.2026

Senior Accountant Resolution Representative

Wells Fargo
08.2022 - 12.2022

Prior Authorization Specialist

Express Scripts
06.2011 - 08.2022

High School Diploma -

Hazelwood Central High School