Erin Kiger
Mattoon,IL
Summary
Dynamic Prior Authorization Specialist with extensive experience at Sarah Bush Lincoln Health Center, adept at insurance verification and documentation management. Proven ability to train staff and enhance team collaboration while ensuring HIPAA compliance. Skilled in utilizing healthcare portals and medical coding to streamline authorization processes, achieving timely approvals for patient care.
Overview
10
10
years of professional experience
Work History
Prior Authorization Specialist
Sarah Bush Lincoln Health Center
Mattoon, IL
08.2015 - Current
- Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
- Communicated authorization decisions, including approvals and denials, to healthcare providers and patients.
- Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
- Followed up on pending prior authorization requests to ensure timely processing.
- Maintained accurate and up-to-date records of authorization requests and outcomes in electronic health record systems.
- Trained new staff on prior authorization procedures and company policies.
- Coordinated with healthcare providers to gather necessary patient information for prior authorization requests.
- Utilized medical coding knowledge to accurately process and document authorization requests.
- Contacted insurance companies to obtain necessary preauthorizations needed for upcoming tests and procedures.
Education
High School Diploma -
Parkland College
Champaign, IL05-2005
Skills
- Prior authorization
- Insurance verification
- Electronic health records
- Documentation management
- Healthcare communication
- Time management
- Medical coding
- Problem solving
- Training new staff
- Team collaboration
- Attention to detail
- Professionalism
- ICD-10 coding
- HIPAA compliance
- Teamwork
- Conflict resolution
- Proficiency in Revenue Cycle/Power Chart, Availity, Evicore, Carelon, Evolent and other healthcare portals
- Multitasking
- Task prioritization
References
References available upon request.
Timeline
Prior Authorization Specialist
Sarah Bush Lincoln Health Center
08.2015 - Current
High School Diploma -
Parkland College
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