Emily Edwards

Referral and Prior Authorization Coordinator with extensive experience in insurance verification and appeals at East Asheville Family Health Care. Utilizes nursing background to effectively advocate for patients during the authorization process. I possess strong skills in coordinating patient care, authorizing procedures, and managing health records. Skilled in ICD-10 coding and patient education, demonstrating strong problem-solving abilities and collaboration in addressing denied authorizations. Highly organized with a proven ability to manage and optimize patient referrals while ensuring compliance with HIPAA standards. Strong work ethic, adaptability, and time management abilities.

• Trained in eClinicalWorks and Athena EHR Systems.

• Dog and horse lover. I balance my work and personal life with horseback riding, volunteer work, and being outdoors. Working with horses allows me to reset and decompress, especially if day has been stressful. My dog loves our walks and neighborhood activities.

• In December of 2023 I relocated from Western NC to here in Reno for my new job at Pinnacle Medical Group. In mid September 2024 I started remote work for my previous employer, East Asheville Family Health Care, to assist office in PA's and referrals as they transitioned to a new EHR, also the nurse that had taken over my position left unexpectedly. During this time they were hit with Hurricane Helene.That area was completely devastated and the office was without power, water , phone and internet system. Because I was here working remote, I was able to check on patients; find out where they were displaced,any immediate health issues, call in med refills, and coordinate with their local officials to assist in emergency efforts. I had kept my home there to AirBnb, but sadly it also washed away and my community along highway 19 E in Burnsville, NC was nearly wiped off the map. While I could not be there in person to help my community, I was still able to help from here. I continued my remote work part time for them until April of 2025 while I trained an in-house person to take over position.

• I stopped working in 2008 through 2016 to care for my immediate family that was going through several devastating health problems all at once. You only get one family and they were my priority.