Looking for a career that will allow me to develop my skills, and grow as a reliable, independent team player.
Overview
20
20
years of professional experience
Work History
Patient Services Representative
Lancaster Orthopedic Group
11.2021 - Current
Maintained patient confidentiality by adhering to HIPAA regulations and diligently updating records as needed.
Resolved patient complaints promptly, demonstrating empathy and understanding while seeking mutually beneficial solutions.
Managed high call volume, prioritizing urgent issues and directing calls appropriately for optimal resolution.
Implemented effective time management strategies that allowed me to balance multiple responsibilities, resulting in improved productivity and patient satisfaction.
Authorization Specialist
LANCASTER UROLOGY
07.2015 - 03.2019
Did multiple outbound calls to medical insurances
Obtained authorizations for outpatient surgery, Ct scans and MRI's
Obtained urgent authorizations when required by the physician to be done on the same day
If and authorization was denied I would submit appeals to get the authorization approved
Handled about 25 to 30 authorizations daily
Customer service
TruGreen
03.2015 - 06.2015
Handled 50 to 60 calls a day
Handled, billing, scheduling and payments on clients accounts
I accomplished reaching their club 100
Medical Insurance/Customer Service Representative
Coresource Incorporated
11.2004 - 06.2011
Handled 40 to 60 calls a day
Verified Medical Benefits for up to 21 different company groups, including secondary insurances
Answered questions and complaints for various reasons such as explanation of benefits, claim status, incorrect payments and adjustments
Faxed multiple explanation of benefits to providers and patients by fax and online