Ginger Festa
Raymond ,NH
Summary
Skilled in healthcare industry knowledge and HIPAA compliance, I excelled at Lamprey Health Care by streamlining authorization processes and enhancing patient trust through empathetic service. Demonstrated proficiency in insurance verification and patient scheduling, significantly improving service quality and operational efficiency. Resourceful Prior Authorization Representative with 8 years of experience resolving insurance coverage issues to facilitate optimal patient service. Proficient in interviewing patients and completing all paperwork to support successful admitting process.
Overview
8
8
years of professional experience
Work History
Prior Authorization Representative
Lamprey Health Care
01.2021 - Current
- Processed new medication and refill requests for authorization.
- Communicated pertinent information to client's prescribing provider to facilitate quality service.
- Provided exceptional customer service, addressing inquiries from both patients and healthcare providers promptly and professionally.
Patient Service Representative
Lamprey Health Care
06.2016 - Current
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Verified insurance eligibility and coverage for patients.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Managed patient registration process, confirming data accuracy and completeness.
Education
High School Diploma -
Georgetown High School
Georgetown, MA06.1992
Skills
- Basic medical terminology
- Authorizations
- Benefit Coverage
- HIPAA Compliance
- Healthcare Industry Knowledge
- Insurance Verification
- Patient Scheduling
Timeline
Prior Authorization Representative
Lamprey Health Care
01.2021 - Current
Patient Service Representative
Lamprey Health Care
06.2016 - Current
High School Diploma -
Georgetown High School
Similar Profiles
Jessica LewisJessica Lewis
Certified Nurse Midwife at Lamprey Health CareCertified Nurse Midwife at Lamprey Health Care
Paul FitzpatrickPaul Fitzpatrick
Navigator / HealthCare Navigator at Lamprey Health CareNavigator / HealthCare Navigator at Lamprey Health Care
Mariane GosselinMariane Gosselin
Administrative Medical Assistant at Lamprey Health CareAdministrative Medical Assistant at Lamprey Health Care