Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kay Hanna

Hammond,OR

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 15 years of managing documentation. Considered team player with exemplary multitasking skills. Reliable Prior Authorization Specialist with over 15 years of experience working in fast-paced, hospital and clinical environments. Bilingual professional with skill in prior authorization for patients, finding solutions to issues and tackling work tasks in busy office. Amiable Prior Authorization Representative with 15 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. 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. Supportive Eligibility Specialist with extensive application engagement and dedicated service skills. Bilingual professional with skill to maintain accurate records, schedule appointments and handle various administrative responsibilities. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level [Job Title] position. Ready to help team achieve company goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

23
23
years of professional experience

Work History

Prior Authorization Specialist

Columbia Memorial Hospital
11.2015 - 02.2023
  • Reached out to insurance carriers to obtain prior authorization for testing and procedures.
  • Input all patient data regarding claims and prior authorizations into system accurately.
  • Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
  • Tracked referral submission during facilitation of prior authorization issuance.
  • Maintained compliance with patient privacy and security regulations such as Hippa.
  • Verified eligibility and compliance with authorization requirements for service providers.
  • Fielded telephone inquiries on authorization details from plan members and medical staff.
  • Researched denied claims and contacted insurance companies to resolve these issues.
  • Reviewed insurance coverage for patients to determine which party was liable for payment.
  • Authorized surgical and radiology requests in accordance with applicable plan guidelines.
  • Escalated requests for non-standard services to surgery personnel in 15 years.
  • Collected and processed patient liability statements prior to service.
  • Documented all communication with applicants and inputted information into system using .
  • Inputted all gathered information and researched data on applicants into computer system using .

Customer Service Representative

Ocean Beach Hospital And Medical Clinics
03.2006 - 07.2015
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Answered constant flow of customer calls with minimal wait times.
  • Offered advice and assistance to customers, paying attention to special needs or wants.
  • Collected customer feedback and made process changes to exceed customer satisfaction goals.
  • Exhibited high energy and professionalism when dealing with clients and staff.
  • Delivered prompt service to prioritize customer needs.
  • Educated customers about billing, payment processing and support policies and procedures.
  • Promoted superior experience by addressing customer concerns, demonstrating empathy and resolving problems swiftly.
  • Trained new personnel regarding company operations, policies and services.
  • Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.

Restaurant Manager

Shilo Inns
06.1995 - 09.2001
  • Promoted positive atmosphere and went above and beyond to guarantee each customer received exceptional food and service.
  • Carefully interviewed, selected, trained and supervised staff.
  • Met, greeted and encouraged feedback from customers and used feedback to implement positive changes within restaurant.
  • Reconciled cash and credit card transactions to maintain accurate records.
  • Led and directed team members on effective methods, operations and procedures.
  • Correctly calculated inventory and ordered appropriate supplies.
  • Conducted health, safety and sanitation process evaluations to identify and remedy any violations immediately.
  • Quickly identified problem situations and skillfully resolved incidents to satisfaction of involved parties.
  • Developed, implemented and managed business plans to promote profitable food and beverage sales.
  • Purchased adequate quantities of food, beverages, equipment and supplies.
  • Oversaw front of house personnel to maintain adequate staffing and minimize overtime.
  • Maintained safe working and guest environment to reduce risk of injury and accidents.
  • Effectively managed payroll and timekeeping, and paperwork for new hires and terminations.
  • Delivered in-depth training to workers in food preparation and customer-facing roles to promote strong team performance.
  • Identified team weak points and implemented corrective actions to resolve concerns.
  • Created fun team building activities to engage staff in up-selling to meet revenue targets.
  • Clearly and promptly communicated pertinent information to staff, such as large reservations or last minute menu changes.
  • Recognized and formally acknowledged outstanding staff performance to boost company morale and productivity.
  • Created and deployed successful strategies to boost restaurant performance, streamline food prep processes and reduce waste.
  • Prepared for and executed new menu implementations.
  • Actively participated in ongoing customer service programs to build sales and rapport in community.
  • Interacted positively with customers while promoting hotel facilities and services.
  • Managed [Number]-person team of cooks and back of house staff for high-end [Type] restaurant.
  • Strategically developed effective marketing plans to increase sales and profits while managing costs.
  • Skillfully interacted with external vendors to obtain best quality in pricing and product.
  • Controlled purchases and inventory by negotiating prices and contracts with over [Number] vendors.
  • Carefully developed lucrative annual food and beverage marketing plan and strict budget to maximize profits.
  • Achieved highest employee retention rate in region.
  • Promoted business through participation in and sponsorship of community events.

Education

High School Diploma -

Warrenton High School
Warrenton, OR
06.1979

Skills

  • Outpatient Procedures
  • Patient Referral
  • Operational Requirements
  • Referral Tracking
  • Problem Resolution
  • Information Assistance
  • Medical Coding
  • Office Supplies and Inventory
  • Reminder Calls
  • Diagnostic Codes
  • Insurance Information Oversight
  • Legal Requirements
  • Registration Paperwork
  • Benefit Coverage
  • Call Transfers
  • Greeting Visitors
  • Computerized Time Management Systems
  • Patient Identification
  • Effective Communication Skills
  • Electronic Health Records Systems
  • Treatment Documentation
  • Explaining Patient Benefits
  • Benefits Verifications
  • Status Updates
  • Specialist Procedures
  • Insurance Procedures
  • Outpatient Surgery Coding
  • Customer Satisfaction
  • Registration Processes
  • Health Insurance Plan Knowledge
  • Professional Relationships
  • Private Insurance
  • Assistance Authorization
  • Reference Checking
  • Applicant Support and Service
  • Retro-Authorizations
  • Authorizations
  • Recordkeeping

Timeline

Prior Authorization Specialist

Columbia Memorial Hospital
11.2015 - 02.2023

Customer Service Representative

Ocean Beach Hospital And Medical Clinics
03.2006 - 07.2015

Restaurant Manager

Shilo Inns
06.1995 - 09.2001

High School Diploma -

Warrenton High School
Kay Hanna