Holeigh Shafer
Puyallup,WA
Summary
Brings proven track record of success in determining eligibility and resolving complex insurance verification and authorization cases. Supportive specialist with dedicated service skills who works professionally, organized, and dependably to manage multiple priorities for the benefit of the patient and company.
Overview
9
9
years of professional experience
Work History
IV Authorization Specialist
Multicare Health System
08.2021 - 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.
Surgery Scheduling Coordinator
Multicare Health System
10.2019 - 08.2021
- Enhanced patient experience by efficiently scheduling surgeries and managing appointment calendars.
- Streamlined surgery scheduling processes for improved team productivity and patient satisfaction.
- Reduced patient wait times with effective communication between surgeons, staff, and patients.
- Improved accuracy in surgery scheduling, ensuring appropriate pre-operative preparations were completed.
- Implemented a well-organized system for tracking surgery cancellations and rescheduling requests.
- Managed high volume of incoming calls and inquiries related to surgery scheduling with professionalism and attention to detail.
Referral Coordinator
Multicare Health System
04.2019 - 10.2019
- Streamlined referral process by implementing efficient tracking and communication systems.
- Enhanced patient satisfaction with timely coordination of referrals and appointments.
- Managed electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
- Assisted with staff training initiatives related to the referral process, sharing expertise gained from professional experience.
- Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
Customer Service Representative
Cambia Health Solutions
12.2017 - 09.2018
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Answered constant flow of customer calls with minimal wait times.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and company alike.
- Offered advice and assistance to customers, paying attention to special needs or wants.
Surgery and Authorization Coordinator
Puget Sound Orthopaedics
10.2016 - 11.2017
- Improved patient care by efficiently coordinating authorizations for medical procedures and treatment plans.
- Facilitated timely renewals of ongoing authorizations by closely monitoring expiration dates and initiating renewal processes proactively.
- Reviewed authorizations from payer to determine approved or denied items.
- Enhanced communication between healthcare providers and insurance companies, reducing delays in patient treatment approvals.
- Maintained consistent follow-up on status of prior authorization requests.
- Arranged pre-operative and post-operative appointments for surgical patients.
- Expertly managed planning, scheduling, and coordination of outpatient procedures.
- Verified insurance coverage and obtained pre-authorizations.
- Maintained strict confidentiality in handling sensitive patient information, adhering to HIPAA guidelines and clinic policies.
- Demonstrated adaptability in managing last-minute schedule changes while minimizing disruption to overall workflow.
Patient Access Representative
Puget Sound Orthopaedics
03.2016 - 10.2016
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
Receptionist
Bomonti Chiropractic
Puyallup, WA
12.2014 - 03.2016
- Interacted with customers by phone, email, or in-person to provide information.
- Completed clerical tasks such as filing, copying, and distributing mail.
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
Education
Bachelor of Arts - Communication Studies
Rocky Mountain College
Billings, MT05.2013
Bachelor of Arts - Theater Arts
Rocky Mountain College
Billings, MT05.2013
High School Diploma -
Spanaway Lake High School
Spanaway, WA06.2009
Skills
- Medical terminology expertise
- Medical coding knowledge
- Insurance Verification
- Data entry proficiency
- HIPAA Compliance
- Prior authorization processing
- Appointment Scheduling
- Documentation and paperwork
- Effective communication skills
- Telephone Etiquette
- Authorizations understanding
Timeline
IV Authorization Specialist
Multicare Health System
08.2021 - Current
Surgery Scheduling Coordinator
Multicare Health System
10.2019 - 08.2021
Referral Coordinator
Multicare Health System
04.2019 - 10.2019
Customer Service Representative
Cambia Health Solutions
12.2017 - 09.2018
Surgery and Authorization Coordinator
Puget Sound Orthopaedics
10.2016 - 11.2017
Patient Access Representative
Puget Sound Orthopaedics
03.2016 - 10.2016
Receptionist
Bomonti Chiropractic
12.2014 - 03.2016
Bachelor of Arts - Communication Studies
Rocky Mountain College
Bachelor of Arts - Theater Arts
Rocky Mountain College
High School Diploma -
Spanaway Lake High School
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