Jocelyn Smith
Newark,DE
Summary
I am an experienced Physician Authorization specialist working in the Healthcare industry for over 20 years. I have experience in authorizing both hospital procedures and medications for various departments within the organization. I have a reputation for providing outstanding customer service. I am seeking a position that will expand my knowledge base and further develop my current skills and talents.
Overview
23
23
years of professional experience
Work History
Physician Authorization Specialist
Nemours
Wilmington, DE
04.2018 - Current
- Responsible for obtaining and processing authorizations for medications via online portals and over the phone in a timely manner. Provide medical reasoning and records to the insurance company to support the necessity of medication.
- Serve as a direct contact to nurses, providers, and pharmacists regarding denied medications.
- Extensive knowledge and understanding of medications, insurance requirements, and workflows.
- Maintained detailed records of all diagnoses, treatments, medications, test results and other information related to patient care.
- Provide detailed documentation in patients' chart on authorization status.
- Maintain and update Excel spreadsheet
- Experienced in EPIC, Word, and Excel
PSR II Orthopedics
Nemours Children's Hospital
Wilmingto, DE
04.2007 - 04.2018
- Greet families face to face, complete registration, verify insurance coverage, answer phone calls, attend department meetings, and complete daily cash settlement. Train and mentor new hires.
Insurance Verification Representative
Nemours Children's Hospital
Wilmington, DE
04.2007 - 04.2012
- Responsible for handling incoming calls, verifying insurance coverage, and obtaining all referrals/authorizations for outpatient services. Communicate member responsibility for all services. Provide education and support to various departments. Train and mentor new hires.
Senior Communications Specialist
Coventry Health Care
Newark , Delaware
01.2002 - 04.2007
- Provide ongoing leadership to team members, assist supervisor with compiling daily statistical reports and data. Monitor phone coverage, handle escalated calls, and ensure daily and monthly goals are achieved. Served as direct contact for provider relations. Train and mentor new hires.
Education
General Studies
Penn Wood High School
Lansdowne, PA06-1994
Hotel, Resort And Restaurant Management
Folcroft Vocational School
Folcroft, PA06-1994
Skills
- In-depth insurance knowledge, including policies, and workflows
- Comprehensive understanding of medications
- Committed to Customer Satisfaction
- Strong leadership skills – served in various leadership appointments, including senior and supervisory roles
- I work well with others, and efficiently on my own
Timeline
Physician Authorization Specialist
Nemours
04.2018 - Current
PSR II Orthopedics
Nemours Children's Hospital
04.2007 - 04.2018
Insurance Verification Representative
Nemours Children's Hospital
04.2007 - 04.2012
Senior Communications Specialist
Coventry Health Care
01.2002 - 04.2007
General Studies
Penn Wood High School
Hotel, Resort And Restaurant Management
Folcroft Vocational School
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