Debra Kerr
Fleming Island,FL
Summary
Brings proven track record of success in determining eligibility and resolving complex cases. Works professionally with clients to develop and implement successful strategies for maximizing services and benefits. Skilled in problem-solving and identifying solutions meeting clients' needs.
Overview
9
9
years of professional experience
Work History
Authorization Specialist
Conviva Care Solutions
06.2021 - 12.2023
- Improved patient satisfaction by streamlining authorization processes and ensuring timely responses to inquiries.
- Enhanced departmental efficiency with thorough knowledge of insurance guidelines and medical terminology.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
- 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.
- Developed strong relationships with insurance representatives to expedite approvals and resolve issues promptly.
- Promoted positive customer experiences by addressing concerns or questions related to authorizations in a professional manner.
Administrative Assistant
Cancer Specialists Of North Florida
11.2014 - 05.2021
- Enhanced office efficiency by organizing and maintaining comprehensive medical records for easy retrieval by healthcare providers.
- Improved patient satisfaction by efficiently managing appointment scheduling and providing clear communication regarding medical procedures.
- Provided exceptional customer service to patients, addressing concerns promptly and professionally to ensure satisfaction.
- Maintained and updated patient records for accurate, current medical histories.
- Conducted insurance verification and preauthorizations and managed patient charts.
- Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
- Verified insurance coverage to prepare for upcoming patient appointments.
- Obtained pre-authorization from insurance companies ahead of medical services.
Education
High School Diploma -
Clay High School
Green Cove Springs, FL06.1991
Skills
- Data Entry Proficiency
- Medical Coding Knowledge
- Insurance Verification
- Prior Authorization Processing
- Medical Terminology Expertise
- HIPAA Compliance
- Problem Solving Abilities
- Multitasking Capabilities
- Microsoft Office
- Authorizations Understanding
- Patient Advocacy
Timeline
Authorization Specialist
Conviva Care Solutions
06.2021 - 12.2023
Administrative Assistant
Cancer Specialists Of North Florida
11.2014 - 05.2021
High School Diploma -
Clay High School