Elizabeth Peavler
Lawrenceburg,KY
Summary
Seeking a position to provide excellent customer service to patients as well as assisting co-workers with any tasks when needed. I will strive to go above and beyond. 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. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
15
15
years of professional experience
Work History
Authorization Specialist
CHI Saint Joseph Hospital
Lexington, KY
09.2023 - Current
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing 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.
- Prevented delays in care delivery by proactively identifying potential issues during the pre-authorization process and seeking clarification from providers when needed.
- Developed strong relationships with insurance representatives to expedite approvals and resolve issues promptly.
- Expedited claim processing by submitting complete and accurate information in accordance with payer requirements.
Referral Coordinator
CHI Saint Joseph Hospital
Lexington, KY
11.2021 - 09.2023
- Scheduled appointments with specialists on behalf of clients.
- Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
- Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
- Processed referral requests from patients, doctors and other health care professionals.
- Served as a liaison between primary care physicians, specialists, and patients to ensure timely access to needed services.
- Managed electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
- Provided exceptional customer service, addressing patient concerns and inquiries regarding the referral process.
- Developed and maintained strong working relationship with referral sources to streamline processing.
- Established strong relationships with external providers, facilitating seamless communication and collaboration in patient care.
- Enhanced patient satisfaction with timely coordination of referrals and appointments.
Medical Assistant
Kentucky Neuroscience Institute
Lexington, KY
01.2020 - 11.2021
- Confirm patients but two identifiers, room patient and go over health history
- Take vitals, upload scans for providers, inform provider of anything out of the normal range if necessary, let patient know provider will be with them in a timely manner
- Monitor patient wait time in the room, if provider is running behind, check on patient and keep them updated on a timeframe if possible
- Break down charts throughout the day, put in bills, clean rooms and pod as necessary.
Patient Relations Assistant
Pediatric Hematology and Oncology
Lexington, KY
03.2018 - 01.2020
- Greets patients and families and identifies opportunities to provide positive patient experience
- Answers phones, monitors wait times, and verifies insurance eligibility
- Recognizes and provides initial resolution of errors in computer system
- Builds patient charts in system
- Schedules referrals
- Provides appointment details and directions to referring providers.
Medical Secretary
Shelby County Detention Center
Shelbyville, KY
05.2012 - 04.2015
- File, fax, request records, coordinate and arrange transportation for inmates to outside medical and dental appointments
- Took vitals of inmates when needed.
CNA
Shriner’s Hospital for Children
Lexington, KY
03.2009 - 07.2012
- Admitted surgical patients to the inpatient unit
- Took initial vitals and prep for surgery
- Provided care for the patient pre and post-op.
Education
Health Management And Clinical Assistance
BCTCS
Lexington, KYSkills
- Experienced working with people from various backgrounds and cultures
- Skilled at multi-tasking Able to attend to multiple responsibilities in a timely, efficient manner
- Highly skilled in secretarial and administrative services, coordinating appointments, and maintaining communication with patients throughout the process
- Proficient with Windows/Microsoft Office, Epic, APM, SCM, Rev Runner, Patient Works, DMS, and multiple insurance portals WPM: 120
Timeline
Authorization Specialist
CHI Saint Joseph Hospital
09.2023 - Current
Referral Coordinator
CHI Saint Joseph Hospital
11.2021 - 09.2023
Medical Assistant
Kentucky Neuroscience Institute
01.2020 - 11.2021
Patient Relations Assistant
Pediatric Hematology and Oncology
03.2018 - 01.2020
Medical Secretary
Shelby County Detention Center
05.2012 - 04.2015
CNA
Shriner’s Hospital for Children
03.2009 - 07.2012
Health Management And Clinical Assistance
BCTCS