Iris Brouillet
Bethpage,NY
Summary
Efficient Authorization Specialist with comprehensive knowledge of medical insurance policies, coding and procedures. Demonstrated ability to liaise effectively between patients, healthcare providers, and insurance companies for smooth transactions. Strengths include strong problem-solving skills, thoroughness in documentation and a keen eye for identifying inconsistencies. Proven impact in previous roles includes streamlined authorization processes, improved patient satisfaction rates, and reduced claim denials.
Overview
15
15
years of professional experience
Work History
Senior Authorization Specialist
Memorial Sloan Kettering
New York, NY
01.2021 - Current
- Provided customer service to internal and external customers related to authorization requests.
- Reviewed authorization requests for accuracy and completeness.
- Verified insurance authorizations with payers via telephone or web-based systems.
- Coordinated communication between providers, patients, payers, and other departments as needed.
- Prepared appeal letters on behalf of clients when necessary to resolve disputes with insurers.
- Ensured timely submission of accurate documentation to support payment of services rendered by providers.
- Researched patient eligibility, coverage information, and benefit levels.
- Processed prior authorization requests in accordance with departmental guidelines.
- Tracked authorization statuses using electronic databases or manual filing systems.
- Monitored daily workflow queues within the department ensuring all tasks are completed accurately and timely.
- Expert in initiating appeals with health plans internal and externally with state insurance boards for radiation therapy
- Proficient in utilizing all insurance data bases to obtain authorizations timely.
Patient Access Cordinator Senior
Memorial Sloan Kettering
Uniondale, NY
05.2013 - 12.2020
- Verified insurance eligibility and ensured coverage of services to be provided.
- Provided financial counseling services to patients regarding payment options.
- Applied HIPAA privacy and security regulations while handling patient information.
- Collaborated with clinical and administrative staff to meet patient needs.
- Spearheaded Financial Literacy Program "Medicare & You"
- Provided CPT codes to PBS to receive cost estimates
- Initiated applications for co pay assistance through foundation programs
Care Coordinator
Memorial Sloan Kettering
Hauppauge, NY
02.2010 - 04.2013
- Schedule appointments for physicians, clinics, and diagnostic testing.
- · Provide patient information on insurance
- Data entry of new patient demographics.
- Communicate with insurance companies to screen insurance eligibility.
- Pull and prepare chart for each new consultation.
- Obtain radiology and treatment authorizations.
- Scheduled and confirmed appointments based on customer availability.
- Documented customer correspondence in RMS to track potential issues.
Education
Associate of Applied Science -
Nassau Community College
Garden City, NYSkills
- Effective communication skills
- Advocacy and Counseling
- Documentation and paperwork
- Proficiency in Microsoft Word,Excel, Outlook
- CPT coding
Timeline
Senior Authorization Specialist
Memorial Sloan Kettering
01.2021 - Current
Patient Access Cordinator Senior
Memorial Sloan Kettering
05.2013 - 12.2020
Care Coordinator
Memorial Sloan Kettering
02.2010 - 04.2013
Associate of Applied Science -
Nassau Community College
Similar Profiles
Jessica FigueroaJessica Figueroa
Project Coordinator at Sloan Kettering Institute at Memorial Sloan KetteringProject Coordinator at Sloan Kettering Institute at Memorial Sloan Kettering
Yohannes Abere AmbawYohannes Abere Ambaw
POSTDOCTORAL RESEARCH ASSOCIATE at Memorial Sloan Kettering Cancer Center, Sloan Kettering Institute, Cell Biology DepartmentPOSTDOCTORAL RESEARCH ASSOCIATE at Memorial Sloan Kettering Cancer Center, Sloan Kettering Institute, Cell Biology Department
Megan StasiMegan Stasi
Clinical Nurse, Medical Oncology at Memorial Sloan KetteringClinical Nurse, Medical Oncology at Memorial Sloan Kettering
Samantha Destiny FiguereoSamantha Destiny Figuereo
Nursing Assistant at Memorial Sloan Kettering HospitalNursing Assistant at Memorial Sloan Kettering Hospital
Nicole WillNicole Will
Nurse Manager at Episcopal Health ServicesNurse Manager at Episcopal Health Services