Erin Morris
Acworth
Summary
Experienced Care Coordinator with a strong background in medication and surgical prior authorizations, insurance appeals, and clinical documentation review. My diverse work experience has strengthened my ability to adapt efficiently to changing environments. Proven ability to consistently exceed productivity and quality metrics while managing high-volume workflows across multiple clinic settings. Skilled in navigating EHR systems including EPIC and eClinicalWorks, as well as authorization platforms and insurance portals. Excellent verbal and written communicator.
Overview
22
22
years of professional experience
Work History
Care Coordinator
Verisma
Remote
09.2024 - Current
- Utilize multiple systems including EPIC, eClinicalWorks (eCW), OnBase, ProviderFlow, CoverMyMeds, and various insurance portals to process authorizations and maintain accurate patient records
- Coordinated care across four clinic settings, ensuring timely communication between providers, pharmacies and insurance companies.
- Managed medication and surgical prior authorizations, including submitting requests, tracking determinations, and following up to prevent delays in care
- Review, organize and index incoming faxes into patient charts to support continuity of care and provider review
- Complete and process FMLA, disability, and physical forms using Trimsnet, routing to providers for review and electronic signature via Docusign
- Provided training and onboarding for new employees in two clinic locations, improving workflow efficiency and consistency
- Deliver patient centered support, addressing questions and concerns from clinical staff
- Consistently exceed company established metrics in high volume, fast paced environment
Appeals Processing Senior Representative
Express Scripts
Remote
10.2023 - 09.2024
- Analyzed denied prior authorizations to identify root causes and determine next steps for resolution
- Collected and verified updated clinical documentation, correcting incomplete or inaccurate information that contributed to denials
- Prepared and submitted detailed appeal requests in accordance with insurance and regulatory guidelines
- De-escalated high stress interactions with upset or frustrated, patients and providers, maintaining professionalism while resolving concerns efficiently
Prior Authorization Representative
Express Scripts
Remote
06.2022 - 10.2023
- Coordinated prior authorization requests to ensure timely decisions for patients' medication needs.
- Reviewed and analyzed insurance policies to determine coverage eligibility and compliance with regulations.
- Accurately enter non-clinical and structured clinical data while following established procedures to authorize medication requests or forward for clinician review.
- Process incoming fax requests
- Problem solve issues to rejected claims to allow patients to obtain approved medications.
Professional Residential Cleaner
Two Maids & a Mop
Woodstock, Georgia
08.2019 - 10.2020
- Completed cleaning duties on time and according to schedule.
- Followed established safety precautions when performing tasks, mixing chemicals, and using equipment and supplies.
- Managed time and performed quality work to clean record number of homes weekly.
- Completed inspections and handled problems to keep common areas spotless.
- Identified advanced cleaning and maintenance needs with thorough inspections.
Special Needs Paraprofessional
Harbins Elementary School
Dacula, GA
07.2018 - 05.2019
- Improved student behavior with consistent monitoring, intervention, and positive reinforcement.
- Helped special education students integrate into mainstream classroom environments.
- Supervised students in cafeterias, schoolyards, and other non-classroom environments.
Medical Assistant Student Intern
Lawrenceville Pediatrics
Loganville, GA
11.2011 - 04.2012
- Improved skills in techniques with repeated practices.
- Helped with appointments by preparing patients for examinations and treatments.
- Provided emotional support and compassionate care to patients of all backgrounds.
- Delivered skilled support for procedures.
- Prepared treatment rooms for patient examinations, keeping rooms neat and clean.
- Preserved confidentiality of all patient information in line with HIPAA and internal guidelines.
Equine Summer Camp Director
Bransby YMCA Lithonia
Lithonia
05.2008 - 08.2008
- Coordinated recreational activities by communicating openly with coworkers.
- Checked equipment regularly for damage or wear and coordinated repairs.
- Protected staff and participants with consistent enforcement of safety standards.
Equine Summer Camp Director
Bransby YMCA Lithonia
Lithonia
06.2007 - 08.2007
- Managed camp according to best practices in youth development and experiential education.
Department Manager
The Paper Store
10.2004 - 07.2006
- Organized workflow, delegated tasks, and monitored performance to verify task completion.
- Monitored inventory levels and maintained accurate records of utilization.
Education
Medical Billing And Coding -
Rasmussen University
05-2024
Medical Assistant -
Herzing University
Dearborn, MIHigh School Diploma -
Oakmont Regional High School
Ashburnham, MA06-2002
Skills
- Prior Authorizations
- EHR Systems
- HIPAA Compliance & Confidentiality
- Appeals & Denials
- Medical Insurance & Payer Guidelines (Commerical, Medicare, Medicaid)
- Medical Terminology
- ICD-10, CPT, PCS
- FMLA, Disability, and Medical Forms Processing
Timeline
Care Coordinator
Verisma
09.2024 - Current
Appeals Processing Senior Representative
Express Scripts
10.2023 - 09.2024
Prior Authorization Representative
Express Scripts
06.2022 - 10.2023
Professional Residential Cleaner
Two Maids & a Mop
08.2019 - 10.2020
Special Needs Paraprofessional
Harbins Elementary School
07.2018 - 05.2019
Medical Assistant Student Intern
Lawrenceville Pediatrics
11.2011 - 04.2012
Equine Summer Camp Director
Bransby YMCA Lithonia
05.2008 - 08.2008
Equine Summer Camp Director
Bransby YMCA Lithonia
06.2007 - 08.2007
Department Manager
The Paper Store
10.2004 - 07.2006
Medical Billing And Coding -
Rasmussen University
Medical Assistant -
Herzing University
High School Diploma -
Oakmont Regional High School