Kelly Jacobs
Youngstown
Summary
Efficient Authorization Specialist with comprehensive knowledge of medical insurance policies, coding and procedures. Demonstrated ability to liaise effectively between patients, healthcare providers, and insurance companies for smooth transactions. Strengths include strong problem-solving skills, thoroughness in documentation and a keen eye for identifying inconsistencies. Proven impact in previous roles includes streamlined authorization processes, improved patient satisfaction rates, and reduced claim denials.
Overview
8
8
years of professional experience
Work History
Verification/Authorization Specialist
Youngstown Orthopaedic Associates
Youngstown
09.2016 - Current
- Tracked authorization statuses using electronic databases or manual filing systems.
- Analyzed denials received from third party payers to identify trends in denials and develop proactive measures for resolution.
- Verified insurance authorizations with payers via telephone or web-based systems.
- Performed data entry into various computer systems including but not limited to EMRs and CRMs.
- Managed intake of new claims and performed routine follow-ups.
- Reviewed authorization requests for accuracy and completeness.
- Participated in meetings with staff members from other departments such as billing and coding teams to provide clarification on policies related to authorizations.
- Explained reasons behind application denials and recommended further action.
- Processed prior authorization requests in accordance with departmental guidelines.
- Worked effectively in team environments to make the workplace more productive.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Assisted with customer requests and answered questions to improve satisfaction.
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
Skills
- Prior authorization processing
- Data entry proficiency
- HIPAA compliance
- Medical terminology expertise
Timeline
Verification/Authorization Specialist
Youngstown Orthopaedic Associates
09.2016 - Current