Christina Peddlar

· Managed the prior authorization work queues for chemotherapy and non-chemotherapy patients, each containing over 60 active cases, ensuring timely access to treatment.

· Monitored and supported at least 10 patients per month through manufacturer-sponsored Patient Assistance Programs (PAPs), securing access to essential medications.

· Reviewed drugs dispensed for surgical procedures and followed up with clinicians to resolve discrepancies, improving billing and clinical documentation accuracy.

· Reviewed and corrected charges for inpatient, observation, and emergency services to ensure accuracy in quantity and dollar amounts, supporting timely and precise billing.

· Generated monthly reports to track program outcomes, demonstrating cost savings and improvements in patient care metrics.

• Supervised a team of 12 Specialists (6 U.S.-based and 6 in Medellín, Colombia), providing mentorship, training, and performance support to ensure consistent review standards across all regions.

• Conduct assessments of diagnostic reports and ABA treatment plans to ensure compliance with best practices, insurance guidelines, and client needs

• Submit prior authorization requests for a census of 900 clients across over 20 clinics, ensuring timely approvals to secure reimbursement for services

• Manage a monthly workload of 50 cases, prioritizing high-revenue cases, including single case agreements and reviews of negotiated contract rates, to meet deadlines and maintain optimal reimbursement rates.

• Collaborate with billing, collections, and insurance teams to investigate authorization discrepancies and resolve claims issues to reduce denials, recover revenue, and expedite cash flow.

• Support appeals process to improve revenue integrity by reducing underpayments and ensuring full reimbursement for services rendered

• Collaborate with IT and BI teams to resolve utilization review issues and improve internal EMR systems for enhanced efficiency.

• Provided clerical support for the department of Geriatrics, including four physicians, the Director of Geriatrics, and an APRN.
• Act as a liaison between patients and their physicians, relaying phone messages clearly and concisely.
• Manages the physician's schedules including monthly meetings and administrative times.
• Coordinates services for home-bound patients, such as physical therapy, wound care, and skilled nursing.
• Maintain complete and up-to-date documentation and files, including the plan of care and home health certifications.
• Obtains Epic referrals and insurance authorizations for office visits, procedures, medical equipment, etc

• Executed financial transactions in accordance with bank policies and procedures, maintaining accuracy and compliance.
• Consistently achieved acceptable records in daily drawer balancing.
• Oversaw the vault cash, including buying and selling cash with branch tellers and ATMs as needed.
• Collaborate with Citibank partners, such as business bankers and wealth management teams, to help clients grow their businesses.
• Provide clients with tailored financial solutions to maximize their returns.