Heidi Stewart
Watertown,NY
Summary
Experienced healthcare professional specializing in prior authorization coordination, committed to improving patient access to crucial treatments. Known for strong collaboration skills and a proven track record of success in fast-paced healthcare environments. Demonstrates excellent analytical abilities and meticulous attention to detail, ensuring smooth operations and high-quality service delivery.
Overview
9
9
years of professional experience
Work History
Prior Authorization Coordinator
North Country Orthopaedic Group
10.2023 - 05.2025
- Prioritized stat, urgent, and elective order requests for MRIs, CTs, Ultrasounds, Fluoroscopic injections, Physical Therapy, and Durable Medical Equipment obtained from providers, triage nurse, and medical assistant.
- Improved patient satisfaction by efficiently managing prior authorization requests and ensuring timely approvals.
- Reduced errors in documentation by meticulously reviewing medical records and verifying patient information.
- Utilized the telephone, via fax, internet website, and email to primary care physicians, HMOs and/or carriers for appropriate authorizations requests.
- Routed authorizations to the appropriate department to have the order executed.
- Maintained the patient's electronic medical record with updated authorization, denials, referrals, and other insurance related information.
- Collaborated with team members and appropriate departments to provide clear and concise information with the patient/patient representative in resolving discrepancies in coverage, and mediate denials with insurance companies.
- Used an internal triage system to ensure communication with the correct department of staff regarding patient care related to approvals, denials, and follow-up care.
- Strictly complied with HIPPA and insurance regulations.
Medical Administrative Assistant
Upstate Oral Surgery and Dental Implants
05.2023 - 09.2023
- Maintain a strategically planned calendar with surgeries, consultations, and follow-ups on patient's post-op on a daily basis.
- Direct and support patient flow while maintaining and entering accurate patient information.
- Worked to verify insurance information to claims, presented bills to patients and answered any questions. Floated between front of the office duties, the referral department, insurance verification department and the billing department.
- Answered the phones taking information from doctor's offices and patients. Prioritized the needs of the patients while working with them to schedule their appointment. Provided exceptional service to anyone that I encountered.
Home Health Aide
Private care
05.2019 - 12.2022
- Supervising administration and management of medication to clients.
- Go with clients to doctor visits, report to doctors/nurses about the client's health status. Actively advocating for clients and family as needed.
- Provide care to maintain the highest level of health.
- Created and maintained personalized documentation to record care provided.
Substitute Teacher
Carthage Central School District
12.2021 - 03.2022
- Follow lesson plans provided by the regular Teacher creating cohesive and consistent learning experience for students.
- Manage the classroom effectively to encourage student participation, minimize distractions and keep a positive learning environment.
- Adapt teaching methods to fit the needs of each individual student.
- Supervise students in and out of the classroom.
Patient Care Coordinator
Hearing Health LLC
01.2020 - 03.2020
- Quickly used analytical tasks and charting tasks related to patient information.
- Communicating with patients about their status and condition through emails, phone, and face-to-face conversations.
- Managing patient accounts with contact information, insurance, and financial information in a confidential manner.
- Scheduling patient visits and answering questions, including billing and preparation.
Primary President
The Church of Jesus Christ of Latter-day Saints
04.2016 - 03.2020
- Developed and implemented weekly lesson plans for children aged 18 months - 11 years old, along with supervision of 12-20 teachers.
- Disburse funds from accounts to fund activities and ensure accounts are balanced.
- Create, maintain, and enter information into databases to track progress.
- Execute planned events and upholding schedule created a year in advance.
- (Volunteer Work)
Banquet Captain/Server
Tailwater Lodge
05.2018 - 01.2019
- Manage operations for preparation, execution, and clean-up of banquets.
- Communicate with chefs, stewards, managers about immediate and forecast problems and train new banquet servers.
- Monitor banquet rooms to enforce cleanliness, presentation, attention to details, and anticipating the client's needs.
- Ensure quality of service for clients and guests.
Education
A.A.S - Individual Studies, Health Science
Jefferson Community College
12.2021
Nationally Certified Medical Administrative Assistant -
National Healthcareer Association
04.2023
Medical Administration Assistant with Medical Billing and Coding Certification -
Jefferson Community College
02.2023
Skills
- Teamwork and collaboration
- Excellent verbal and written communication
- ICD-10, CPT, HCPCS coding
- Patient referrals
- Insurance authorizations and verification
- HIPAA compliance
- Benefit coverage
- Strong organization
- Medical terminology knowledge
- Documentation and recordkeeping
- Self motivation
- Clinical documentation
Timeline
Prior Authorization Coordinator
North Country Orthopaedic Group
10.2023 - 05.2025
Medical Administrative Assistant
Upstate Oral Surgery and Dental Implants
05.2023 - 09.2023
Substitute Teacher
Carthage Central School District
12.2021 - 03.2022
Patient Care Coordinator
Hearing Health LLC
01.2020 - 03.2020
Home Health Aide
Private care
05.2019 - 12.2022
Banquet Captain/Server
Tailwater Lodge
05.2018 - 01.2019
Primary President
The Church of Jesus Christ of Latter-day Saints
04.2016 - 03.2020
Nationally Certified Medical Administrative Assistant -
National Healthcareer Association
Medical Administration Assistant with Medical Billing and Coding Certification -
Jefferson Community College
A.A.S - Individual Studies, Health Science
Jefferson Community College
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