Erika Pastorius
New Castle,PA
Summary
Authorization Specialist with a strong focus on workflow optimization and process improvement, demonstrating exceptional problem-solving and team leadership skills. Adept at developing strategic protocols to enhance approval rates and minimize claim rejections, ensuring high service quality standards. Committed to fostering seamless communication and collaboration between healthcare providers, insurance companies, and patients to optimize coverage arrangements and improve patient care outcomes.
Overview
10
10
years of professional experience
Work History
Authorization Specialist
Joshuason Rehab LTD
New Castle, PA
04.2025
- Process medical authorization requests while maintaining compliance standards, analyze coverage policies, and streamline approval workflows
- Review and validate insurance documentation, resolve claim discrepancies, and coordinate with healthcare providers to ensure accurate authorizations
- Manage authorization timelines, reduce processing delays, and implement efficient tracking systems for improved patient care outcomes
- Facilitate seamless communication between patients, providers, and insurance companies while ensuring optimal coverage arrangements
- Partner with healthcare teams to expedite authorization processes, resolve complex cases, and maintain high service quality standards
- Develop strategic authorization protocols to minimize claim rejections and enhance approval rates through systematic policy analysis and workflow optimization
Dispatcher and Billing Coding
Central Heating and Plumbing
New Castle, PA
04.2025 - Current
- Use software to code work orders to specific types of jobs ensuring the amount of services rendered matches the amount of money collected.
- Communicate with the lead dispatchers if needed to go back to finish services or if they have been completed.
- Ensure all money collected is correct, accounted for and sent to the correct department for final billing.
- Closely check time sheet for all techs for three offices are correct corresponding with the jobs they worked and hours there.
- Logging BackFlows to the correct departments to ensure businesses do not get their services shut off in a timely manner.
- Dispatching techs where needed if lead Dispatchers are occupied.
- Answering customer phone calls, making call sheets for services needed.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Utilized scheduling software to allocate resources efficiently for plumbing and heating services.
- Collaborated with fellow dispatchers to maintain a seamless workflow during shift changes.
- Provided exceptional customer service to callers, remaining empathetic and patient during emergencies.
- Monitored flow of paperwork and directed information to appropriate departments.
Receptionist
Joshuason Rehab LTD
New Castle, PA
11.2022 - 01.2023
- Developed creative solutions to complex challenges while maintaining strong attention to detail and delivering high-quality results ahead of schedule
- Streamlined front desk operations by implementing efficient scheduling system and managing patient records while providing exceptional care and support
- Orchestrated seamless check-in procedures and reduced patient wait times through optimized appointment management and resource allocation
- Coordinated with medical staff to ensure smooth patient flow, resolve scheduling conflicts, and maintain effective communication channels
- Maintained accurate patient records and billing information while ensuring compliance with healthcare regulations and privacy standards
- Implemented digital patient record system and scheduling protocols, reducing administrative processing time while ensuring HIPAA compliance
- Redesigned front desk workflow by integrating digital tools and automated reminders, enhancing patient experience and staff efficiency
Bartender
Vfw Post 315
New Castle, PA
05.2016 - 01.2023
- Managed high-volume bar operations, orchestrated inventory control, and delivered exceptional customer service while maintaining compliance with alcohol regulations
- Built strong rapport with diverse clientele, resolved conflicts effectively, and created welcoming atmosphere while ensuring responsible service practices
- Balanced multiple transactions accurately, maintained precise cash handling procedures, and implemented stringent ID verification protocols
- Coordinated with kitchen staff and security team to ensure smooth service flow, handled special events, and maintained positive team dynamics
- Developed creative drink specials, streamlined service processes, and introduced efficient payment handling methods to enhance customer satisfaction
Education
No Degree - Psychology-Criminology
Strayer University-Virginia
New Castle, PA2020
High School Diploma -
New Castle Jr/SR High
New Castle, PA2010
Skills
- Workflow Optimization
- Problem Solving
- Team Leadership
- Process Improvement
- Quality Assurance
- HIPAA compliance
- Prior authorization processing
- Appointment scheduling
- Documentation and paperwork
- Microsoft office
- Effective communication skills
- Documentation and reporting
- Verbal communication
- Record keeping
- Telephone etiquette
- Teamwork and collaboration
- Problem-solving
- Time management
- Organizational skills
Interests
I love all and any activities with my children, husband and dogs I enjoy hunting, fishing, painting, photography, cooking, baking, reading books, and gardening In our household we thoroughly love to do everything as a family and teach our kids how to be successful and self-sustaining while making memories and enjoying each other
Timeline
Dispatcher and Billing Coding
Central Heating and Plumbing
04.2025 - Current
Authorization Specialist
Joshuason Rehab LTD
04.2025
Receptionist
Joshuason Rehab LTD
11.2022 - 01.2023
Bartender
Vfw Post 315
05.2016 - 01.2023
No Degree - Psychology-Criminology
Strayer University-Virginia
High School Diploma -
New Castle Jr/SR High