Seasoned collaborator experienced in meeting needs, improving processes and exceeding requirements in team environments. Diligent worker with strong communication and task prioritization skills.
Overview
32
32
years of professional experience
Work History
ASSOCIATED BUSINESS ANALYST / LEAD AUTHORIZATION COORDINATOR
Optum
01.2020 - Current
Oversee and coordinate the pre-authorization process across multiple service teams, ensuring efficiency and compliance. Analyze clinical data to assess eligibility for services. Ensure accurate verification of patient information and insurance coverage. Manage submission of pre-authorization requests for various services. Streamline the process for obtaining authorization approvals with timely follow-up. Lead comprehensive reporting initiatives to track performance metrics and identify areas for improvement. Serve as substitute for any employee on PTO.
OFFICE MANAGER
Dr. Stoudenmire, Clinical Psychologist
06.2018 - 01.2020
Greet patients warmly upon their arrival and assist them with completing necessary paperwork. Schedule patient appointments efficiently, ensuring that all time slots are managed effectively. Maintain and update patient records in compliance with privacy regulations to ensure confidentiality and security of information. Verify patient insurance information, confirm authorization requirements, and follow up with patients and/or insurance companies as necessary. Collect co-pays and ensure all financial transactions are processed accurately.
OPERATIONS MANAGER
Singing River Hospital System
01.1993 - 12.2017
Vendor Management and Staff Oversight: Established and nurtured partnerships with 6 off-site vendors, ensuring seamless business and effective service delivery. Conducted monthly reconciliations for each vendor, maintaining accurate financial records and fostering accountability.
Leadership and Development: Managed a team of 9 in-house Customer Service Representatives, driving excellence in customer support and operational efficiency. Oversaw daily collection functions, focusing on recruitment, training, and development of high-performing teams. Conducted annual staff performance reviews, providing constructive feedback, recognition for achievements, and actionable recommendations for improvement.
Education
General Studies -
Mississippi Gulf Coast Community College
Perkinston, MS
Skills
Data analysis
Requirements gathering
Team collaboration
Microsoft Office Suite
Microsoft Excel mastery
Quality assurance
Operations management
Timeline
ASSOCIATED BUSINESS ANALYST / LEAD AUTHORIZATION COORDINATOR