Crystal Lane-Clumfoot
Defuniak Springs,FL
Summary
Dynamic healthcare administration professional with over 15 years of experience supporting neurosurgery, pain management, orthopedic, and primary care practices. Expertise in insurance prior authorizations across various specialties, including Veterans Administration Community Care, surgery scheduling, and medical billing support, ensures seamless patient coordination and operational efficiency. Proficient in Athena, Azalea, Prognocis, and Medi-Soft EMR systems, with a proven track record of streamlining workflows and ensuring payer compliance in high-volume medical environments. Committed to fostering team collaboration and adaptability to evolving needs while delivering reliable and precise data entry and customer service.
Overview
18
18
years of professional experience
Work History
Authorizations Specialist
North Florida Surgeons/Orthopaedic Associates
Fort Walton Beach, FL
01.2025 - Current
- Process 50+ insurance authorization requests weekly for surgical and pain management orders
- Coordinate with physicians, insurance carriers, and patients to secure approvals prior to scheduling
- Maintain accurate patient documentation in EMR systems and ensure payer compliance
Authorizations & Surgery Manager
HR Inc / Neurosurgery & Pain Management
Destin, FL
01.2021 - 01.2024
- Managed scheduling and authorizations for 30+ neurosurgery and pain management procedures monthly
- Coordinated referrals, insurance approvals, and pre-procedure documentation
- Resolved authorization issues with insurance carriers to prevent procedure delays
Authorizations Specialist
Dynamic Pain and Wellness
Crestview, FL
01.2019 - 01.2021
- Processed 30+ pain management authorizations and insurance verifications daily
- Maintained patient records and coordinated referrals within EMR systems
Medical Office Manager
Neurology & Chiropractic Practices
San Diego, CA
01.2008 - 01.2012
- Managed daily operations including scheduling, billing coordination, and patient intake
- Supervised administrative staff and maintained compliance with healthcare regulations
Education
Bachelor of Science - Healthcare Administration
California College
01-2018
Associate of Occupational Studies - Clinical Medical Assisting
California College
01-2017
Skills
- Insurance Verification & Prior Authorizations
- VA Community Care / HSRM Authorizations
- Surgical & Procedure Scheduling
- Provider Credentialing & Enrollment
- Electronic Medical Records
- Patient Intake & Care Coordination
- Referral Management
- Medical Records Management
- HIPAA Compliance
- Athena EMR
- Electronic Medical Records (EMR/EHR)
- Insurance Authorization Systems
- HIPAA compliance
- Medical terminology
- Data entry proficiency
- Teamwork and collaboration
- Customer service
- Problem-solving
- Reliability
- Excellent communication
Additional Healthcare Experience
Medical Assistant, Referral Coordinator, Billing Specialist, Back-Office Supervisor, Phlebotomy
Timeline
Authorizations Specialist
North Florida Surgeons/Orthopaedic Associates
01.2025 - Current
Authorizations & Surgery Manager
HR Inc / Neurosurgery & Pain Management
01.2021 - 01.2024
Authorizations Specialist
Dynamic Pain and Wellness
01.2019 - 01.2021
Medical Office Manager
Neurology & Chiropractic Practices
01.2008 - 01.2012
Associate of Occupational Studies - Clinical Medical Assisting
California College
Bachelor of Science - Healthcare Administration
California College