Darla Helland
Menomonee Falls,WI
Overview
2001
2001
years of professional experience
Work History
Prior Authorization Specialist
MHS Health Wisconsin
Milwaukee, WI
2001 - 2018
- Enhanced customer service by swiftly resolving patient inquiries and concerns about coverage or denials.
- Managed telephone inquiries regarding authorization details from plan members and medical staff.
- Oversaw high volume of incoming calls, ensuring professionalism while addressing caller needs for prior authorizations.
- Facilitated communication with healthcare providers to clarify documentation and uphold compliance with policies.
Medical Referral Specialist
Waukesha Elmbrook Healthcare
Waukesha, WI
1995 - 11.2000
- Facilitated referral processes among healthcare providers and patients to enhance service accessibility.
- Oversaw inbound and outbound communications to address patient inquiries and clarify referral requirements.
- Validated insurance eligibility and coverage to ensure efficient referral processing for specialized care.
- Facilitated development of training materials for new staff on referral protocols and system usage.
- Leveraged electronic health record systems to monitor patient progress and enhance follow-up care.
- Fostered a positive work environment by actively engaging in team meetings and providing constructive feedback.
- Managed incoming telephone calls to provide office information and address inquiries.
- Executed diverse administrative functions, including filing, copying, and faxing documents.
Timeline
Prior Authorization Specialist
MHS Health Wisconsin
2001 - 2018
Medical Referral Specialist
Waukesha Elmbrook Healthcare
1995 - 11.2000