Katelynn Koedyker
Wheatfield,IN
Summary
Organized professional knowledgeable in regulatory standards and compliance requirements. Confident Prior Authorization Specialist with a background spent working in medical offices, communicating effectively orally and through writing and developing prior authorization workflows. 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 6 years of managing documentation. Considered team player with exemplary multitasking skills.
Overview
12
12
years of professional experience
Work History
Prior Authorization Specialist/Case Management Social Worker
Valley Oaks Health
07.2017 - Current
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Verified eligibility and compliance with authorization requirements for service providers.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
Cash Office Clerk/Jewelry Sales Associate
Walmart
02.2016 - 06.2017
- Reduced cash discrepancies through meticulous record-keeping and thorough reconciliation of daily transactions.
- Exhibited strong attention to detail while balancing multiple tasks simultaneously within a fast-paced work environment successfully.
- Promoted an organized workspace, maintaining clean work areas that supported optimal productivity levels throughout the day.
- Safeguarded company assets, securing cash storage areas and adhering to loss prevention policies consistently.
Shift Supervisor
Starbucks
07.2012 - 04.2016
- Trained new employees and delegated daily tasks and responsibilities.
- Completed store opening and closing procedures and balanced tills.
- Managed cash handling procedures, maintaining accuracy in financial transactions and minimizing discrepancies in daily reconciliations.
- Responded to and resolved customer questions and concerns.
Education
Master of Science - Psychology
Indiana Technical Institute
Fort Wayne, IN05.2024
Skills
- Prior Authorization Process
- ICD-10 Coding Familiarity
- Medical Terminology
- Medical Appeals Handling
- Authorizations
- Insurance Verification
- Retro-Authorizations
Timeline
Prior Authorization Specialist/Case Management Social Worker
Valley Oaks Health
07.2017 - Current
Cash Office Clerk/Jewelry Sales Associate
Walmart
02.2016 - 06.2017
Shift Supervisor
Starbucks
07.2012 - 04.2016
Master of Science - Psychology
Indiana Technical Institute
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