Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kayla McCartney

Insurance authorization specialist
San Angelo,TX

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 [Number] years of managing documentation. Considered team player with exemplary multitasking skills. Amiable Prior Authorization Representative with [Number] years of connecting patients and healthcare providers to vital resources. Dedicated to executing on prescribed medical funding guidelines and policies. Maintains compassionate and sympathetic relations with consumers. Adept at balancing business interests with human-centric service models. Gifted in working with stressed, confused and upset individuals in need of benefits information and supportive guidance to navigate [Type] systems. Effective at operating within [Type] regulations and [Type] department guidelines to manage telephone calls, emails, letters and in-person requests for assistance. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level [Job Title] position. Ready to help team achieve company goals.

Overview

8
8
years of professional experience

Work History

Insurance Authorization Specialist

Shannon Medical Center
08.2021 - Current
  • Checked documentation for accuracy and validity on updated systems.
  • Carried out administrative tasks by communicating with clients, distributing mail and scanning documents.
  • Verified client information by analyzing existing evidence on file.
  • Generated, posted and attached information to claim files.
  • Calculated adjustments, premiums, and refunds.
  • Notified insurance agents and accounting departments of policy cancellations and changes.

General Manager

Stripes Convenience Store
02.2020 - 07.2021
  • Managed budget implementations, employee reviews, training, schedules and contract negotiations.
  • Developed and maintained relationships with customers and suppliers through account development.
  • Maximized efficiency by coaching and mentoring personnel on management principles, industry practices, company procedures and technology systems.
  • Implemented operational strategies and effectively built customer and employee loyalty.
  • Applied performance data to evaluate and improve operations, target current business conditions and forecast needs.
  • Developed effective business plans to align strategic decisions with long-term objectives.

General Manager

Snappy- Foods
01.2018 - 01.2020
  • Managed budget implementations, employee reviews, training, schedules and contract negotiations.
  • Developed and maintained relationships with customers and suppliers through account development.
  • Maximized efficiency by coaching and mentoring personnel on management principles, industry practices, company procedures and technology systems.
  • Implemented operational strategies and effectively built customer and employee loyalty.
  • Organized budgets, oversaw P&Ls and achieved margin targets consistently to stay on track with growth plans.
  • Reduced costs, managed delivery schedules and performed risk analysis to improve overall profitability.

Office Manager

JSM Hotshots
11.2011 - 07.2014
  • Maintained computer and physical filing systems.
  • Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
  • Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping.
  • Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
  • Managed office operations while scheduling appointments for department managers.
  • Coached new hires on company processes while managing employees to achieve maximum production.
  • Arranged corporate and office conferences for company employees and guests.
  • Oversaw quality control and productivity rates to increase revenue and production times.
  • Prepared meeting materials and took clear notes to distribute to stakeholders.

Education

GED -

South Jones High School
Ellisville, MS
09.2013

Skills

  • Benefit Coverage
  • Patient Interviews
  • Information Assistance
  • Greeting Visitors
  • Referral Tracking
  • Call Transfers
  • Medical Terminology
  • Clinical Messaging
  • Outpatient Procedures
  • Registration Paperwork
  • Insurance Information Oversight
  • Office Supplies and Inventory
  • Authorization Verification
  • Problem Resolution
  • Insurance Authorizations
  • Patient Referral
  • Reminder Calls
  • Billing Procedures
  • Insurance Plan Verification
  • Insurance Processing
  • Registration Processes
  • Specialist Procedures
  • Prior Authorization Processing
  • Private Insurance
  • Customer Feedback
  • Specifications Knowledge
  • Data Entry
  • Explaining Patient Benefits
  • Payment Collection
  • Authorizations
  • Recordkeeping
  • Amount Calculation
  • Claims Preparation

Timeline

Insurance Authorization Specialist

Shannon Medical Center
08.2021 - Current

General Manager

Stripes Convenience Store
02.2020 - 07.2021

General Manager

Snappy- Foods
01.2018 - 01.2020

Office Manager

JSM Hotshots
11.2011 - 07.2014

GED -

South Jones High School
Kayla McCartneyInsurance authorization specialist