Summary
Overview
Work History
Education
Skills
Work Availability
Timeline
Generic

Elizabeth Easton

Insurance Authorization Specialist II
Broken Arrow ,Oklahoma

Summary

I excelled at RadNet by enhancing insurance verification processes and improving patient satisfaction. Recognized for professionalism and ethics, I successfully coordinated with healthcare providers, ensuring HIPAA compliance and boosting authorization efficiency. My teamwork orientation and conflict resolution skills contributed to surpassing company goals. Trustworthy professional offering a keen understanding of the latest insurance requirements for prior authorizations. Determined Prior Authorization Specialist boasting extensive claim researching and effective collaboration skills with other members of the office staff.

Overview

10
10
years of professional experience

Work History

Insurance Authorization Specialist II

Radnet
Tulsa, OK
08.2022 - Current
  • Coordinated resolutions for issues and appealed denied authorizations.
  • Collaborated with internal departments to provide account status updates.
  • Checked documentation for appropriate coding, catching errors and making revisions.
  • Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
  • Communicated authorization decisions, including approvals and denials, to healthcare providers and patients.
  • Followed up on pending prior authorization requests to ensure timely processing.
  • Coordinated with healthcare providers to gather necessary patient information for prior authorization requests.
  • Notified ordering providers of denied authorizations.
  • Verified insurance eligibility for patients and entered information into the system.
  • Answered incoming calls from potential new patients and existing patient inquiries.
  • Communicated effectively with clientele to maintain customer satisfaction and loyalty.
  • Provided clear instructions to patients regarding their upcoming visits.
  • Adhered to organizational policies and procedures related to appointment scheduling.
  • Ensured compliance with HIPAA regulations when handling confidential information.
  • Assisted in scheduling, rescheduling, and canceling appointments for patients.
  • Conducted outbound calls to remind patients of upcoming appointments.
  • Provided assistance with additional tasks as needed or requested by management.
  • Resolved customer complaints in a professional manner.
  • Provided timely, courteous, and knowledgeable responses to information requests.
  • Completed day-to-day duties accurately and efficiently.
  • Recognized by management for providing exceptional customer service.
  • Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
  • Identified needs of customers promptly and efficiently.
  • Assisted with customer requests and answered questions to improve satisfaction.

Patient Scheduler

RadNet
Tulsa, OK
08.2022 - 09.2023
  • Provided clear instructions to patients regarding their upcoming visits.
  • Reviewed patient medical history documents prior to appointment scheduling.
  • Conducted outbound calls to remind patients of upcoming appointments.
  • Greeted patients upon arrival and provided them with necessary paperwork.
  • Served as a liaison between patients and healthcare providers for communication purposes.
  • Resolved customer complaints in a professional manner.
  • Ensured compliance with HIPAA regulations when handling confidential information.
  • Scheduled and confirmed appointments.
  • Provided assistance with additional tasks as needed or requested by management.

  • Updated customer information in the database accurately.
  • Assisted in scheduling, rescheduling, and canceling appointments for patients.
  • Inputted patient data into the electronic health record system.
  • Answered incoming calls from potential new patients and existing patient inquiries.
  • Provided timely, courteous, and knowledgeable responses to information requests.
  • Adhered to organizational policies and procedures related to appointment scheduling.
  • Performed follow up calls to confirm scheduled appointments.
  • Maintained accurate records of patient appointments in computer system.
  • Approached customers and engaged in conversation through use of effective interpersonal and people skills.
  • Completed day-to-day duties accurately and efficiently.
  • Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
  • Identified needs of customers promptly and efficiently.

Collections Agent,Lead

Turner Construction
Tulsa, Oklahoma
07.2015 - 01.2021
  • Negotiated rates with customers and entered payments into accounting system.
  • Performed administrative functions for assigned accounts, recorded address changes and purged records.
  • Met demands of busy collections group by performing high volume of daily calls.
  • Contacted insurance companies to check status of claim payments.
  • Developed collection methods to achieve or exceed company financial goals.
  • Spoke with customers to learn reasons for overdue payments and to review terms of credit contract.
  • Researched customer accounts for any discrepancies or outstanding payments.
  • Contacted customers and explained debt management to encourage timely debt payments.
  • Notified customers of delinquent accounts with attempt to collect outstanding amounts.
  • Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
  • Assisted in the development of strategies to improve collections process efficiency.
  • Reviewed accounts to determine payment plan compliance.
  • Upheld privacy and security requirements for customer information.
  • Accepted and processed customer payments and applied toward account balances.

Education

Some College (No Degree) - Pre Nursing

Missouri Southern State College
Jolin, Missouri
01-1973

Skills

  • Strong communication skills
  • Documentation management
  • Conflict resolution
  • Prior authorization
  • Professionalism and ethics
  • Active listening
  • Effective communication skills
  • HIPAA compliance
  • Teamwork orientation

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

Insurance Authorization Specialist II

Radnet
08.2022 - Current

Patient Scheduler

RadNet
08.2022 - 09.2023

Collections Agent,Lead

Turner Construction
07.2015 - 01.2021

Some College (No Degree) - Pre Nursing

Missouri Southern State College

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Elizabeth EastonInsurance Authorization Specialist II