Gwendolyn Davis
West
Summary
Driven Authorization Specialist with a proven track record at Good Samaritan Hospital Medical Center, enhancing workflow efficiency and exceeding productivity targets. Expert in medical terminology and insurance verification, I significantly reduced processing times and increased accuracy. Skilled in fostering interdepartmental communication and collaboration, demonstrating exceptional claims management and teamwork abilities. Trained in E-clinicals works, Patient Access Intelligance ,Pbar, use and administration with knowledge of Authorizations,Insurance Verifications . Dedicated to excellent customer service and best-in-class collaboration.
Overview
14
14
years of professional experience
Work History
Authorization Specialist
Good Samaritan Hospital Medical Center
01.2019 - Current
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
- Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
REFERRALS/Authorization Specialist
Flagler Medical Associates
03.2010 - 10.2018
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
Education
CERTIFICATE - MEDICAL BILLING AND CODING
FL CAREER COLLEGE WPB
6058 Okeechobee Blvd, West Palm Beach, FL 3341709.2017
Skills
- Medical terminology expertise
- Claims Management
- Medical coding knowledge
- Insurance Verification
- Prior authorization processing
- Documentation and paperwork
Timeline
Authorization Specialist
Good Samaritan Hospital Medical Center
01.2019 - Current
REFERRALS/Authorization Specialist
Flagler Medical Associates
03.2010 - 10.2018
CERTIFICATE - MEDICAL BILLING AND CODING
FL CAREER COLLEGE WPB
Similar Profiles
Gabriel VenturaGabriel Ventura
Dietary Aide at Good Samaritan Hospital Medical CenterDietary Aide at Good Samaritan Hospital Medical Center
Lesley M. KaneLesley M. Kane
Registered Nurse at Good Samaritan Hospital Medical CenterRegistered Nurse at Good Samaritan Hospital Medical Center
Patricia Therese EncinarealPatricia Therese Encinareal
Registered Nurse at Good Samaritan Hospital Medical CenterRegistered Nurse at Good Samaritan Hospital Medical Center