Jordyn Shorter
Cherry Hill,NJ
Summary
Healthcare administration professional with over 3 years of experience in prior authorizations, claims adjudication, and revenue cycle management. Achievements include significant reduction in claim denials and management of over 200 accounts daily while ensuring HIPAA compliance. Proficient in Epic EHR and skilled in insurance verification, medical coding (ICD-10 and CPT), and regulatory compliance. Strong communication and problem-solving abilities enhance operational efficiency in healthcare environments.
Overview
3
3
years of professional experience
Work History
Prior Authorization Specialist
COOPER UNIVERSITY HEALTH CARE
Camden, NJ
06.2023 - 07.2024
- Spearheaded high-volume submissions for chemotherapy and complex treatments, achieving 98% approval rate through precise alignment with payer guidelines.
- Audited over 200 daily accounts in Epic, resolving discrepancies to avert $500K annual revenue loss while meeting three-day SLA deadlines.
- Streamlined workers' compensation claims by generating DFEC forms and coordinating with Carelon and Humana, reducing processing time by 20%.
- Ranked in top 10% for productivity through efficient workflow prioritization and time management strategies.
- Reviewed prior authorization requests for accuracy and completeness of required information.
- Educated provider offices on proper coding practices essential for successful claim submission.
- Maintained accurate records of all authorization activities within the database system.
- Facilitated communication among providers, payers, and health plans regarding prior authorization processes.
Insurance Specialist Hospital Bedside
COOPER UNIVERSITY HEALTH CARE
Camden, NJ
03.2024 - 06.2024
- Performed insurance verifications for 40+ ER, MVA, and WC cases weekly, resolving discrepancies and confirming benefit eligibility.
- Generated daily Excel reports to track accounts receivable status, reducing overdue accounts by 25% through proactive payer follow-ups.
- Explained coverage details and secured consent forms to enhance patient financial experiences, improving satisfaction scores by 15%.
- Maintained confidentiality of customer data in compliance with applicable laws and regulations.
- Reviewed insurance policies for adherence to existing regulations, ensuring compliance.
- Guided customers on available insurance plans, detailing benefits and limitations clearly.
- Managed denials, late payments, and extensions through diligent follow-ups with relevant parties.
Radiology Exam Scheduler
COOPER UNIVERSITY HEALTH CARE
Camden, NJ
07.2021 - 06.2023
- Scheduled over 50 daily imaging exams in Epic, ensuring verification of medical necessity and ICD-10 codes to prevent claim denials.
- Acted as liaison between providers and patients, guaranteeing compliance with pre-authorization for advanced radiology services.
- Managed over 200 daily calls, exceeding productivity benchmarks by 15% through effective time management.
- Developed scheduling procedures to enhance project completion efficiency.
- Maintained accurate records of all team tasks to ensure accountability.
- Ensured adherence to established policies regarding scheduling activities.
- Confirmed appointments to optimize patient flow.
- Directed incoming calls to appropriate departments or personnel.
Education
HIGH SCHOOL DIPLOMA - HONOR ROLL
WINSLOW TOWNSHIP HIGH SCHOOL
ATCO, NJ01.2018
Skills
- Prior authorization and insurance verification
- Revenue cycle management
- Patient and provider coordination
- Technical proficiency in Epic EHR
- Proficient in Availity and Navinet
- Microsoft Office Suite expertise
- Excel and PowerPoint skills
- Team collaboration with Microsoft Teams
- Adobe Photoshop proficiency
- Process improvement strategies
- Workers' compensation claims management
- DFEC forms processing
- Workflow prioritization techniques
- Time management skills
- High productivity and performance
CORE COMPETENCIES
- ✅ Prior Authorization Management | ✅ Revenue Cycle Billing | ✅ ICD-10/CPT Coding
✅ Claims Denial Prevention | ✅ Epic EHR & Payer Portals | ✅ HIPAA Compliance
✅ High-Volume Workflow Optimization | ✅ Patient Financial Counseling
Volunteer Leadership
- Organized 100+ care packages for unhoused populations, 2019-2021
- Mentored foster youth, improving community engagement and resource access, 2012-2016
- Led annual breast cancer fundraisers, raising $10K+ for patient support programs, 2010-Present
- Coordinated community cleanups, promoting public health initiatives, Various
Timeline
Insurance Specialist Hospital Bedside
COOPER UNIVERSITY HEALTH CARE
03.2024 - 06.2024
Prior Authorization Specialist
COOPER UNIVERSITY HEALTH CARE
06.2023 - 07.2024
Radiology Exam Scheduler
COOPER UNIVERSITY HEALTH CARE
07.2021 - 06.2023
HIGH SCHOOL DIPLOMA - HONOR ROLL
WINSLOW TOWNSHIP HIGH SCHOOL
Similar Profiles
YAHUI LIYAHUI LI
Research Technician at Cooper University Health CareResearch Technician at Cooper University Health Care
Kevin C. GrandberryKevin C. Grandberry
Staff Chaplain at Cooper University Health CareStaff Chaplain at Cooper University Health Care
Cassandra WhitehouseCassandra Whitehouse
Lead Patient Service Representative at Cooper University Health CareLead Patient Service Representative at Cooper University Health Care
Chase GuntherChase Gunther
Team Member at Monster Mini GolfTeam Member at Monster Mini Golf
George ChristisGeorge Christis
Senior Associate, Compensation at BAYADA Home Health CareSenior Associate, Compensation at BAYADA Home Health Care