Jennifer Brito
Hendersonville,NC
Summary
Proven Authorization Coordinator with a track record of enhancing patient care and reducing treatment approval delays at Asheville Ear Nose and Throat. Skilled in insurance verification and strong communication, I excel in streamlining processes and improving team efficiency. My expertise in healthcare regulations and dedication to patient confidentiality stand out, contributing significantly to organizational growth.
Overview
18
18
years of professional experience
Work History
Authorization Coordinator
Asheville Ear Nose and Throat
04.2008 - Current
- Enhanced communication between healthcare providers and insurance companies, reducing delays in patient treatment approvals.
- Improved patient care by efficiently coordinating authorizations for medical procedures and treatment plans.
- Increased efficiency in handling authorization cases through effective prioritization based on urgency and complexity levels.
- Coordinated seamless transitions of care for patients requiring referrals to specialty services, facilitating smooth handoffs between providers.
- Acted as a resource for clinical staff, providing guidance on insurance requirements and authorization protocols.
- Facilitated timely renewals of ongoing authorizations by closely monitoring expiration dates and initiating renewal processes proactively.
- Reviewed documentation for accuracy and assessment of necessity.
- Maintained consistent follow-up on status of prior authorization requests.
- Submitted for prior authorization with required documentation to appropriate funding source.
- Reviewed authorizations from payer to determine approved or denied items.
- Provided exceptional customer service to patients, addressing their concerns related to insurance coverage and authorizations promptly and empathetically.
- Calculated estimated copay based on current insurance benefits.
- Maintained up-to-date knowledge of insurance policies, enabling accurate evaluation of coverage eligibility criteria for patients.
Front Desk
Asheville MRI
06.2007 - 04.2008
- Enhanced guest satisfaction by providing efficient check-in and check-out processes.
- Managed high call volume with exceptional telephone etiquette, resulting in positive feedback from guests.
- Handled sensitive guest information with discretion, adhering to strict data privacy guidelines set forth by the company.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Helped patients complete necessary medical forms and documentation.
- Transcribed phone messages and relayed to appropriate personnel.
Education
High School Diploma -
South Broward High School
Hollywood, FL06-1992
Skills
- Prior authorization
- Strong communication skills
- Organizational growth
- Critical thinking
- Insurance verification expertise
- Effective time management
- Professionalism and ethics
- Patient confidentiality compliance
- Healthcare regulations
- Medical terminology proficiency
- Teamwork
- Teamwork and collaboration
- Customer service
- Time management
- Attention to detail
- Multitasking
- Reliability
- Organizational skills
- Effective communication
Timeline
Authorization Coordinator
Asheville Ear Nose and Throat
04.2008 - Current
Front Desk
Asheville MRI
06.2007 - 04.2008
High School Diploma -
South Broward High School
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