JACQUELINE WARD
Marietta,GA
Summary
Dedicated professional prepared to bring extensive expertise and results-oriented approach to Specialist role. Known for effectively managing tasks and supporting organizational goals through collaborative efforts and adaptive strategies. Recognized for excellent communication and analytical skills, ensuring seamless operations and consistent outcomes.
Overview
15
15
years of professional experience
Work History
Medical Surgical & Preauthorization Specialist
Dedicated Sleep, LLC ( Remote )
01.2024 - 01.2026
- Processed 40–60 implant authorization requests weekly with 98% approval success
- Reduced denial rates by 30% through documentation accuracy and payer compliance
- Appealed and overturned 25+ denied cases per month
- Shortened authorization turnaround time by 35%
- Managed 100+ active cases simultaneously
- Maintained zero HIPAA violations
Front Office Supervisor / Financial Coordinator
Piedmont OB-GYN
01.2022 - 01.2024
- Supervised 6–8 front office staff members
- Increased point-of-service collections by 20%
- Managed 150+ patient check-ins daily
- Reduced patient wait times by 25%
- Trained 10+ staff members
- Trained and mentored front office staff on best practices in customer service and administrative procedures.
Authorization Specialist
Sibley Heart Center Cardiology
01.2021 - 01.2022
- Secured authorizations for 100+ cardiac procedures monthly
- Reduced treatment delays by 40%
- Managed 75+ active cases at a time
- Coordinated prior authorization requests, ensuring compliance with insurance protocols and guidelines.
- Resolved complex authorization issues by collaborating with clinical teams and insurance representatives.
- Implemented process improvements that enhanced accuracy in patient data entry and tracking.
Surgery Scheduler / Referral Coordinator
Wellstar Health System
01.2019 - 01.2021
- Coordinated 50+ surgical cases monthly
- Processed 200+ referrals per month
- Improved referral turnaround by 30%
Registrar / Billing Specialist
PT Solutions
01.2016 - 01.2019
- Verified insurance for 100+ patients daily
- Used data entry skills to accurately document and input statements.
- Monitored outstanding invoices and performed collections duties.
- Resolved outstanding billing balances in ERIC
- Improved reimbursement turnaround time
Authorization Representative / Insurance Verification Lead
Prospira PainCare
01.2015 - 01.2016
- Trained 5+ new hires
- Reduced verification errors by 15%
- Processed authorization requests efficiently to ensure timely patient access to care.
- Mentored junior representatives in best practices for handling authorization inquiries and appeals.
Medical Biller / Reauthorization Specialist
Alere Women’s & Children’s Health
01.2011 - 01.2015
- Processed 300+ claims monthly
- Reduced A/R aging by 20%
- Processed medical claims accurately and efficiently to ensure timely reimbursement.
- Reviewed and corrected billing discrepancies to maintain compliance with healthcare regulations.
- Verified insurance of patients to determine eligibility.
Education
Business Administration Coursework
Georgia Piedmont Technical College
Atlanta, GA01.1993
Skills
- Prior Authorizations
- Commercial Insurance Plans
- ICD-10 & CPT Code
Experience - Denial Reduction
- EPIC
- Athena
- Availity
- Revenue Cycle
- HIPAA Compliance
- Patient Financial
Counseling - Staff Training
- Workflow Optimization
- Expert problem solving
Timeline
Medical Surgical & Preauthorization Specialist
Dedicated Sleep, LLC ( Remote )
01.2024 - 01.2026
Front Office Supervisor / Financial Coordinator
Piedmont OB-GYN
01.2022 - 01.2024
Authorization Specialist
Sibley Heart Center Cardiology
01.2021 - 01.2022
Surgery Scheduler / Referral Coordinator
Wellstar Health System
01.2019 - 01.2021
Registrar / Billing Specialist
PT Solutions
01.2016 - 01.2019
Authorization Representative / Insurance Verification Lead
Prospira PainCare
01.2015 - 01.2016
Medical Biller / Reauthorization Specialist
Alere Women’s & Children’s Health
01.2011 - 01.2015
Business Administration Coursework
Georgia Piedmont Technical College