Heather Driscoll
Peyton,CO
Summary
Professional with extensive background in healthcare administration. Skilled in managing prior authorization processes, ensuring compliance, and improving efficiency. Strong focus on team collaboration and achieving results, adaptable to changing needs. Reliable, organized, and proficient in navigating complex healthcare systems with excellent communication and problem-solving skills.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Prior Authorization Representative
Envision Radiology
06.2023 - Current
- Verified eligibility and compliance with authorization requirements for service providers.
- Communicated pertinent information to client's prescribing provider to facilitate quality service.
- Ensured compliance with HIPAA regulations by maintaining strict confidentiality in handling sensitive patient information.
- Processed new prior authorizations for different radiological examinations.
- Maintain professional relations with referring providers' staff and insurance companies.
- Improved patient satisfaction by efficiently processing prior authorization requests and ensuring timely responses.
- Reduced errors in documentation by meticulously reviewing medical records and verifying information accuracy.
- Contributed to departmental success by consistently meeting or exceeding performance metrics such as accuracy, productivity, and quality standards.
Physician Support Coordinator Rep IV
Evicore
01.2017 - 11.2022
- Supported physicians by coordinating peer-to-peer schedules
- Project and Subject Matter Expert
- Work with sites, facilities, patients, and physician's offices to investigate and resolve any pre-certification questions, concerns, and options for denied cases.
- Coordinated multiple calendars for improved appointment scheduling and minimized conflicts.
- Prepare program correspondence as needed.
- Performed various clerical functions as need and directed by the Non-Clinical Supervisor.
- Process and Review of service request notifications.
- Maintained a working knowledge of all processes and procedure changes, CPT coding, updated training materials, and use these changes and processes accordingly.
Customer Service Representative
Comcast, CAE
02.2012 - 11.2016
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Developed strong product knowledge to provide informed recommendations based on individual customer needs.
- Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
- Collaborated with team members to develop best practices for consistent customer service delivery.
- Subject Matter Expert to multiple training classes.
- Sales Coach that would get agents to exceed their metrics in sales.
- Point of Contact on multiple teams in the absence of supervisor.
Education
Master of Science - Health Care Management
Colorado Technical University
Colorado Springs, CO03-2026
Bachelor of Science - Health Care Management
Colorado Technical University
Colorado Springs, CO11-2024
Skills
- Basic medical terminology
- Authorizations
- Benefit coverage
- HIPAA compliance
- Medical terminology
- Effective communication skills
- Healthcare industry
- ICD-10 coding
- Electronic records management
- Patient insurance authorizations
- Insurance authorization
- Healthcare regulations
- Physician order verification
Accomplishments
- Awarded Customer Service of Excellence Award two years consecutively.
- I worked multiple platforms and all modalities.
- Maintained the highest scorecard by meeting all KPIs.
Certification
HIPAA Compliance Certificate
Languages
ASL
Limited Working
Timeline
Prior Authorization Representative
Envision Radiology
06.2023 - Current
Physician Support Coordinator Rep IV
Evicore
01.2017 - 11.2022
Customer Service Representative
Comcast, CAE
02.2012 - 11.2016
HIPAA Compliance Certificate
Master of Science - Health Care Management
Colorado Technical University
Bachelor of Science - Health Care Management
Colorado Technical University
Similar Profiles
Jessica WilsonJessica Wilson
Benefits Specialist at Envision RadiologyBenefits Specialist at Envision Radiology
Qiao LIUQiao LIU
Student Radiographer at Nepean Radiology (Quantum Radiology)Student Radiographer at Nepean Radiology (Quantum Radiology)
Dawn GonzalezDawn Gonzalez
Credentialing Coordinator/Administrative Assistant at Wisconsin Radiology Specialist dba Precision RadiologyCredentialing Coordinator/Administrative Assistant at Wisconsin Radiology Specialist dba Precision Radiology