Jody Conrad
Prior Authorization Specialist
Enola,PA
Summary
Hardworking Prior Authorization Specialist with successful background working closely with insurance company representatives to gain preapproval for procedures and testing. Detail-oriented performer with over 30 years of managing documentation. Considered team player with exemplary multitasking skills.
Overview
31
31
years of professional experience
Work History
Medical Claim Biller II/Claims Reviewer-Remote
Teladoc Health
Chicago, IL
05.2025 - 03.2026
- Processed 75 plus insurance claims daily, efficiently, ensuring accurate billing and timely reimbursement
- Reviewed patient accounts for discrepancies, resolving issues to maintain accurate records
- Utilized various insurance portals to assess and confirm eligibility for insurance coverage based on services provided
- Researched and resolved billing discrepancies to enable accurate billing
Authorization Specialist/Patient Service Representative
UPMC Hillman Cancer Center
Pittsburgh and Mechanicsburg Offices, PA
11.2023 - 05.2025
- Researched and analyzed clinical criteria to obtain the most useful information to obtain a prior authorization
- Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies
- Maintained organized records and up-to-date files for all completed and pending authorization requests, ensuring easy access during audits or reviews
- Responded to inquiries from healthcare providers regarding prior authorization requests
- Collaborated with healthcare providers to obtain necessary medical documentation for approvals
General Surgery Authorization Specialist/Patient Service Representative
Tower Health
West Reading, PA
05.2022 - 11.2023
- PSR is receiving and directing calls, schedules new appts as well as follow-up and post-ops. Checks the patient in/out at their appt. Receive and process co-pays. Preauthorized any imaging orders from provider
- Scans patient information into charts and sends medical records while maintaining confidentiality
- Processed referrals for patients who are needing specialty physicians and departments
- Use interpreter phone services to speak with non-English speaking patients
- Facilitated communication between patients, healthcare providers, and insurance companies to streamline processes
Physician Office Assistant-Temporary-Covid Testing
WellSpan Health
Ephrata, PA
01.2022 - 05.2022
- Verified insurance eligibility and coverage for patients and updated EPIC as needed
- Ordered, stocked, and prepared lab material for Covid tests
- Instructed patients on how to do a self-swab for Covid. Informed patients on how they will receive their results on the patient portal and if necessary, through the Covid hotline
Patient Service Representative – Oral Surgery/Covid Testing/Endocrinology Diabetes Center
Elliot Health System
Manchester, NH
06.2019 - 09.2021
- Assisted multiple departments using my PSR skills at the onset of and during COVID
- An Oral Surgery PSR position consists of scheduling consult and surgical appts. Calling patients to confirm their upcoming appointment. Authorizing procedures, collecting payments owed, verify necessary films, medical information, and referrals are in the patient's chart for surgery. A liaison between the family and the physician and other medical staff
- The Covid Center PSR receives calls to schedule and also confirm Covid testing appt. Greet patients, instructing them what the Covid testing process will be. Verify insurances and patient demographics. Prepare the testing materials for the medical staff. Faxing/emailing test results, as necessary. Track specimens to be processed by the lab
- Diabetes Endocrinology PSR is receiving and directing phone calls, scheduling appts, and checks the patient in/out at their appt. Receive co-pays. Scans patient information into charts. Download the patient's glucose meters for physicians for review
Surgery Center Health Unit Coordinator
UPMC Passavant Cranberry
Cranberry Twp, PA
03.2018 - 10.2018
- Answered telephone calls to offer office information and direct calls to staff. Call patients with their appt times prior to surgery
- Contributed to a welcoming environment for patients and their families as the first point of contact at the health unit's reception desk
- Streamlined patient admission process, reducing wait times by organizing and updating patient records. Preparing surgery charts days prior and requesting missing records
- Managed electronic health records, maintaining accuracy and confidentiality in compliance with healthcare regulations. Fax, email, copied records as needed
- Facilitated communication between patients and providers, enhancing patient satisfaction and care continuity
Front Desk Coordinator
Restorix Health – Within Pottstown Memorial
Pottstown, PA
06.2017 - 02.2018
- The position as a Coordinator involved many areas, such as charge entry and billing, reception, scheduling of patients, authorizations, insurance verification, and surgical scheduling
- Filed and scanned patient visit information. Faxed records and do follow-up with primary care doctors and specialists.
- Copied and distributed surgical packets to the preadmission department and surgery schedulers
- Balanced daily cash drawer reconciliations, ensuring accurate financial recordkeeping
- Coordinated communication between nursing homes, hospice, home care, and patients, ensuring clarity for appts and transportation, and patient supplies
Admissions/ER Clerk/Medical Billing
Pottstown Memorial Medical Center
Pottstown, PA
06.1995 - 06.2017
- Participated in staff meetings, disaster drills and contributed valuable input that led to better workplace collaboration and improved standard operating procedures
- Performed various administrative tasks by filing, copying and faxing documents. Collecting of outside x-rays and medical records
- Obtained various payments from patients and scanned identification and insurance cards. Verified insurance and demographic information. Authorized hospital admissions
- Coordinated triage activities, prioritizing patient needs to enhance emergency response effectiveness
- Trained new clerical staff on hospital systems and emergency procedures, fostering a knowledgeable workforce
- Managed high-stress situations calmly while providing emotional support to distressed patients or families during emergencies
Education
Medical Assistant Degree - Medical Secretary/Assistant
Antonelli Medical & Professional Institute
Pottstown, PADiploma - General Studies
Pottsgrove High School
Pottstown, PASkills
- Medical terminology
- Prior authorization process
- Insurance company billing
- Eligibility determination
- Documentation and paperwork
- Teamwork and collaboration
- Problem-solving abilities
- Organizational skills
- Adaptability and flexibility
- EMR knowledge in multiple platforms including EPIC
- Record keeping
- Multitasking
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Medical Claim Biller II/Claims Reviewer-Remote
Teladoc Health
05.2025 - 03.2026
Authorization Specialist/Patient Service Representative
UPMC Hillman Cancer Center
11.2023 - 05.2025
General Surgery Authorization Specialist/Patient Service Representative
Tower Health
05.2022 - 11.2023
Physician Office Assistant-Temporary-Covid Testing
WellSpan Health
01.2022 - 05.2022
Patient Service Representative – Oral Surgery/Covid Testing/Endocrinology Diabetes Center
Elliot Health System
06.2019 - 09.2021
Surgery Center Health Unit Coordinator
UPMC Passavant Cranberry
03.2018 - 10.2018
Front Desk Coordinator
Restorix Health – Within Pottstown Memorial
06.2017 - 02.2018
Admissions/ER Clerk/Medical Billing
Pottstown Memorial Medical Center
06.1995 - 06.2017
Medical Assistant Degree - Medical Secretary/Assistant
Antonelli Medical & Professional Institute
Diploma - General Studies
Pottsgrove High School