Emily Wolfe
Cave Spring,GA
Summary
Seasoned healthcare professional with a proven track record at Brighton Health Plan Solutions, adept in prior authorization processes and EMR systems. Excelled in enhancing care delivery through critical thinking and effective communication, achieving streamlined workflows and compliance with regulatory standards. Demonstrates exceptional multitasking and organizational skills, ensuring high-quality patient care and data management.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Intake Coordinator
Brighton Health Plan Solutions
11.2022 - Current
- Coordinated prior authorization and benefit verification processes, ensuring timely care delivery
- Verified member eligibility and gathered clinical documentation to support authorization requests
- Communicated effectively with providers, members, and facility staff to streamline workflows
- Ensured compliance with third-party regulations and organizational policies
- Prioritized tasks efficiently to manage multiple cases and meet deadlines
Certified Clinical Hemodialysis Technician
Fresenius Medical Care North Georgia
06.2019 - 06.2022
- Documented treatment information in EMR systems, maintaining accurate and secure records
- Collaborated with physicians and nurses to address intradialytic issues and implement interventions
- Prepared laboratory specimens in compliance with regulatory standards
- Conducted pre- and post-treatment assessments, ensuring patient safety and care quality
Senior Operations Specialist
The Radiology Group, LLC
02.2018 - 07.2018
- Resolved issues related to radiology operations for 130 imaging centers
- Trained staff on radiology workflows and ensured compliance with HIPAA standards
- Maintained consistent communication with internal and external stakeholders
Operations Support Supervisor
Aris Radiology/USTeleradiology
09.2010 - 11.2017
- Supervised staff to ensure efficient workflow and accurate case management
- Collaborated with radiologists to facilitate timely reporting and distribution of studies
- Provided constructive feedback through performance evaluations
Diagnostic Breast Imaging Coordinator
USTeleMammography
11.2008 - 09.2010
- Coordinated diagnostic imaging workflows, ensuring timely scheduling and reporting
- Communicated imaging results to referring physicians and facilitated follow-up care
- Managed clinical data and patient records with a focus on accuracy and confidentiality
Education
Associate of Science - Nursing
Chattahoochee Technical College
Marietta, GASkills
- Prior Authorization Processes
- Member Eligibility and Benefit Verification
- EMR Systems and Clinical Data Management
- Knowledge of Third-Party compliance and Regulations
- Strong Interpersonal Communication
- Critical Thinking and Problem-Solving
- Workflow Coordination and Case Management
- Multitasking and Organizational Skills
- Compliance with Quality Standards and Protocols
Certification
CCHT - Certified Clinical Hemodialysis Technician
Timeline
Intake Coordinator
Brighton Health Plan Solutions
11.2022 - Current
Certified Clinical Hemodialysis Technician
Fresenius Medical Care North Georgia
06.2019 - 06.2022
Senior Operations Specialist
The Radiology Group, LLC
02.2018 - 07.2018
Operations Support Supervisor
Aris Radiology/USTeleradiology
09.2010 - 11.2017
Diagnostic Breast Imaging Coordinator
USTeleMammography
11.2008 - 09.2010
CCHT - Certified Clinical Hemodialysis Technician
Associate of Science - Nursing
Chattahoochee Technical College
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