Summary
Overview
Work History
Education
Skills
Work Preference
Work Availability
Timeline
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Christine Delap

Authorization Specialist
Aledo,IL

Summary

Driven Authorization Specialist with a proven track record at Radiology Regional Center, enhancing workflow efficiency and exceeding productivity targets by over 30%. Expert in medical terminology and insurance verification, coupled with exceptional communication skills, ensured compliance with HIPAA and adapted to changing insurance requirements, significantly reducing authorization denials.00.


Overview

24
24
years of professional experience

Work History

Authorization Specialist

Radiology Regional Center
02.2000 - Current
  • Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
  • Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
  • Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
  • Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
  • Assisted in training new team members on company policies and procedures for handling authorization requests.
  • Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
  • Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
  • Demonstrated adaptability with changing insurance requirements, maintaining up-to-date knowledge through continuous education efforts.
  • Motivated and encouraged staff to enhance productivity and meet demanding internal and customer targets.
  • Maintained full knowledge of current regulatory environment and made proactive adjustments to meet changing requirements.
  • Trained staff on current eligibility requirements and policies.
  • Contributed to revenue growth by identifying opportunities for additional services requiring authorization within the organization.
  • Evaluated trends in authorization denials to identify areas for improvement in both internal processes and external communications with payers.
  • Enhanced departmental efficiency with thorough knowledge of insurance guidelines and medical terminology.
  • Prevented delays in care delivery by proactively identifying potential issues during the pre-authorization process and seeking clarification from providers when needed.

Education

Medical Insurance Coding And Billing

Southwest Florida College
Fort Myers, FL

Skills

  • Medical terminology expertise
  • Medical coding knowledge
  • Insurance Verification
  • HIPAA Compliance
  • Prior authorization processing
  • Effective communication skills
  • Interviewing
  • Medicaid knowledge
  • Telephone Etiquette
  • Authorizations understanding
  • Performance monitoring
  • Problem-Solving
  • Time Management
  • Active Listening
  • Adaptability and Flexibility
  • Self Motivation

Work Preference

Work Type

Full Time

Work Location

Remote

Important To Me

Healthcare benefitsWork from home optionPaid time offCompany CulturePersonal development programs

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

Authorization Specialist

Radiology Regional Center
02.2000 - Current

Medical Insurance Coding And Billing

Southwest Florida College
Christine DelapAuthorization Specialist