Diane Bennett
Arundel,ME
Summary
Dynamic Precertification Specialist with a proven track record at York Hospital, adept at streamlining workflows and enhancing efficiency. Skilled in prior authorization and insurance verification, I advocate for patients while ensuring HIPAA compliance. My strong communication skills and expertise in medical terminology drive successful collaboration with healthcare providers to achieve timely approvals.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Precertification Specialist
York Hospital
11.2013 - 04.2022
- Evaluated precertification requests for medical services, ensuring compliance with insurance guidelines.
- Collaborated with healthcare providers to gather necessary documentation for authorization processes.
- Streamlined precertification workflows, enhancing efficiency and reducing processing time.
- Monitored and analyzed trends in authorization denials to identify areas for improvement.
- Advocated for patients by facilitating timely approvals for necessary medical interventions and treatments.
- Continuously expanded personal knowledge of industry regulations and updates through ongoing professional development, ensuring accurate and up-to-date expertise in the precertification process.
- Developed comprehensive knowledge of various insurance plans, policies, and coverage limitations to provide accurate guidance to patients and providers.
Medical Language Specialist
SPi Healthcare Documentation
01.2004 - 10.2009
- Reviewed and edited medical transcripts for accuracy and adherence to industry standards.
- Collaborated with healthcare professionals to clarify terminology and ensure precise documentation.
- Developed guidelines for transcription processes, enhancing consistency across documentation outputs.
- Trained new team members on best practices in medical language and transcription software usage.
- Implemented quality control measures, resulting in improved accuracy rates in patient records.
- Led initiatives to streamline documentation workflows, increasing efficiency in report turnaround times.
- Analyzed feedback from clinicians to refine terminology databases and improve user experience.
- Maintained strict confidentiality with sensitive patient information in compliance with HIPAA regulations.
- Supported the continuous improvement of transcription processes by actively participating in departmental meetings and offering suggestions for optimization.
- Provided quality assurance by reviewing fellow language specialist''s work, offering constructive feedback to improve overall output quality.
- Adapted quickly to changes in technology platforms or software tools used in the transcription process, maintaining high levels of productivity during transitions.
- Mentored new Medical Language Specialists, sharing best practices for transcription efficiency and accuracy.
Medical Language Specialist
MedQuist Healthcare Documentation
05.1992 - 03.2005
- Reviewed and transcribed medical dictations to ensure clarity and accuracy in patient records.
- Collaborated with healthcare professionals to clarify terminology and enhance documentation quality.
- Utilized advanced speech recognition technology to improve transcription efficiency and reduce turnaround times.
- Implemented best practices for maintaining patient confidentiality in compliance with HIPAA regulations.
Education
Associate of Applied Science - Medical Assistant
Mid-State College
Auburn, ME05-1991
Skills
- Prior authorization
- Strong communication skills
- HIPAA compliance awareness
- Organizational growth
- Patient confidentiality adherence
- Insurance verification expertise
- Professionalism and ethics
- Healthcare regulations
- Electronic health records management
- Medical terminology proficiency
- Effective communication skills
- Microsoft office
- Documentation and reporting
- Telephone etiquette
- Proficiency in eCW
Certification
Certified Medical Transcriptionist
Timeline
Precertification Specialist
York Hospital
11.2013 - 04.2022
Medical Language Specialist
SPi Healthcare Documentation
01.2004 - 10.2009
Medical Language Specialist
MedQuist Healthcare Documentation
05.1992 - 03.2005
Associate of Applied Science - Medical Assistant
Mid-State College