Gail Heidel
Myrtle Point,OR
Summary
Hardworking Prior Authorization Specialist with successful background working closely with insurance company representatives to gain preapproval for procedures and testing. Detail-oriented performer with over 3 years of managing documentation. Considered team player with multitasking skills.
Organized and dependable successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
32
32
years of professional experience
Work History
Billing/Prior Authorization Specialist
North Bend Medial Center
05.1993 - Current
- Input all patient data regarding prior authorizations into system accurately.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
Skate Manager
City Of Coquille
05.2008 - 01.2023
- Managed and motivated employees to be productive and engaged in work.
- Onboarded new employees with training and new hire documentation.
- Improved marketing to attract new customers and promote business.
- Established team priorities, maintained schedules and monitored performance.
- Trained personnel in equipment maintenance and enforced participation in exercises focused on developing key skills.
- Maintained professional, organized, and safe environment for employees and patrons.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Managed invoicing and payment processing operations.
- Conducted inventory and restocked items.
Billing Specialist
North Bend Medical Center
08.2017 - 06.2020
- Researched and resolved billing discrepancies to enable accurate billing.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Responded to customer concerns and questions on daily basis.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Analyzed customer financial records to determine appropriate payment plan.
- Used data entry skills to accurately document and input insurance payments.
- Worked claims that have not been paid, in a timely manner fro payment.
- Answered multi-line phone system to respond to inquiries.
- Maintained confidentiality of sensitive data to protect customer and business information.
Front Desk Receptionist
North Bend Medical Center
05.1993 - 08.2017
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Maintained organized and clean front office area to create professional and welcoming environment for visitors and employees.
- Collected deposit, and payments.
- Communicated with clients, and updated client records.
- Handled assignments independently with good judgement and critical thinking skills.
- Resolved customer issues quickly and notified supervisor immediately when problems escalated.
Team Leader
North Bend Medial Center
05.1998 - 05.2009
- Monitored team performance and provided constructive feedback to increase productivity and maintain quality standards.
- Supervised team members to confirm compliance with set procedures and quality requirements.
- Worked with team to identify areas of improvement and devised solutions based on findings.
- Built strong relationships with customers through positive attitude and attentive response.
- Managed leave requests and absences and arranged covers to facilitate smooth flow of operations.
Front Desk Receptionist
North Bend Medical Center
02.1991 - 01.1993
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Updated demographic information in computer.
- Collected deposits, fees, and payments.
- Maintained confidentiality of sensitive data to protect customer and business information.
- Resolved customer issues quickly and notified supervisor immediately when problems escalated.
Education
No Degree - Nursing Assistance
Southwestern Community College
Coos Bay, OR1982
High School Diploma -
Myrtle Point High School
Myrtle Point, OR06.1981
Skills
- Benefits Verifications
- Accounts Receivable
- Authorizations
- Demographics Information
- Patient Referral
- Retro-Authorizations
- Data Entry
- Customer Satisfaction
- Billing Procedures
Timeline
Billing Specialist
North Bend Medical Center
08.2017 - 06.2020
Skate Manager
City Of Coquille
05.2008 - 01.2023
Team Leader
North Bend Medial Center
05.1998 - 05.2009
Billing/Prior Authorization Specialist
North Bend Medial Center
05.1993 - Current
Front Desk Receptionist
North Bend Medical Center
05.1993 - 08.2017
Front Desk Receptionist
North Bend Medical Center
02.1991 - 01.1993
No Degree - Nursing Assistance
Southwestern Community College
High School Diploma -
Myrtle Point High School
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