India Dunlap
Saint Louis,MO
Summary
Dynamic Prior Authorization Specialist with extensive experience at Urology of Saint Louis, adept at navigating insurance procedures and enhancing authorization workflows. Proven ability to analyze trends in denials and improve processes, while delivering exceptional customer service and maintaining compliance. Skilled in medical terminology and effective communication, ensuring timely approvals and patient satisfaction.
Overview
16
16
years of professional experience
Work History
Prior Authorization Specialist
Urology of Saint Louis
Saint Louis Mo
02.2018 - Current
- Processed prior authorization requests, ensuring compliance with insurance guidelines and patient needs.
- Reviewed medical documentation for accuracy, facilitating timely approval of treatments.
- Communicated effectively with healthcare providers to clarify information and expedite authorizations.
- Utilized electronic health record systems to track and manage authorization workflows efficiently.
Prior Authorization Specialist
Bio Tab
Saint Louis Mo
04.2017 - 01.2018
- Collaborated with billing department to resolve discrepancies related to prior authorizations and claims.
- Analyzed trends in authorization denials, recommending improvements to reduce future occurrences.
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
Customer Service Representative
Magellan Health
Saint Louis Mo
06.2009 - 04.2017
- Resolved customer inquiries through effective communication and problem-solving techniques.
- Assisted in maintaining accurate records of customer interactions using CRM systems.
- Adapted quickly to new software tools and processes to enhance service delivery.
- Collaborated with team members to improve response times for customer requests.
- Ensured compliance with company policies while addressing customer concerns efficiently.
- Contributed to team meetings by sharing insights on improving customer satisfaction strategies.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Education
High School Diploma -
Mehlville Sr High
Saint Louis, MoSkills
- Prior authorization process
- Medical terminology
- Medical appeals handling
- Insurance verification
- Data entry
- Insurance procedures
- Retro-authorizations
- Customer service
Timeline
Prior Authorization Specialist
Urology of Saint Louis
02.2018 - Current
Prior Authorization Specialist
Bio Tab
04.2017 - 01.2018
Customer Service Representative
Magellan Health
06.2009 - 04.2017
High School Diploma -
Mehlville Sr High