Kristine Veibell
Layton,UT
Summary
Detail-oriented Prior Authorization Specialist with extensive experience in patient services and medical terminology. Skilled in insurance verification and compliance, consistently improving authorization turnaround times. Committed to fostering patient trust and satisfaction through exceptional service.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Prior Authorization Specialist
Intermountain Healthcare
Layton, UT
05.2023 - Current
- Managed prior authorization requests, ensuring compliance with regulatory standards and internal policies.
- Collaborated with healthcare providers to gather necessary documentation for timely approvals.
- Analyzed authorization trends to identify areas for process improvement and efficiency.
- 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.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
- Input all patient data regarding claims and prior authorizations into system accurately.
Patient Service Representative
Intermountain Healthcare
Layton, UT
09.2005 - 05.2023
- Managed patient scheduling and appointment confirmations to optimize clinic workflow.
- Balanced deposits and credit card payments each day.
- Utilized electronic health record systems to maintain accurate patient data and improve service delivery.
- Addressed patient inquiries effectively, enhancing overall patient satisfaction and experience.
- Trained new staff on operational protocols and customer service best practices to streamline onboarding processes.
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Verified insurance eligibility and coverage for patients.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Managed patient registration process, confirming data accuracy and completeness.
- Maintained a well-organized front desk, contributing to a welcoming environment for patients and visitors.
- Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
Certified Clinical Lab Assistant
Intermountain Healthcare
Ogden, UT
10.2003 - 09.2005
- Processed and prepared laboratory specimens for analysis, ensuring compliance with safety protocols.
- Conducted routine quality control checks on laboratory equipment to maintain operational efficiency.
- Assisted in maintaining inventory of laboratory supplies, facilitating timely replenishment of essential materials.
- Collaborated with medical staff to ensure accurate specimen labeling and documentation for testing procedures.
- Monitored patient samples throughout testing phases, ensuring timely reporting of results to healthcare providers.
- Ensured a safe working environment through strict adherence to safety protocols and routine equipment maintenance checks.
- Supported operations across Hematology, Urinalysis, [Type] and Microbiology departments.
- Adhered to rigorous confidentiality standards when handling sensitive patient information, upholding ethical obligations and regulatory requirements.
Education
Certification - Clinical Lab Assisting
Ogden-Weber Applied Technology College
Ogden, UT11-2003
High School Diploma -
Layton High School
Layton, UT05-1978
Certification - HealthCare Education
Certified Careers Institute
Layton, UT04-2003
Skills
- Prior authorization process
- Medical terminology
- Medical appeals handling
- Authorizations
- Insurance verification
- Effective communication skills
- Data entry
- Electronic health records proficiency
- Medical terminology knowledge
- Benefit coverage
- Professionalism and ethics
- Insurance procedures
- Pharmacy benefit management
- Patient scheduling
- Claim research
- ICD-10 coding
Certification
- Certified Lab Assistant
Timeline
Prior Authorization Specialist
Intermountain Healthcare
05.2023 - Current
Patient Service Representative
Intermountain Healthcare
09.2005 - 05.2023
Certified Clinical Lab Assistant
Intermountain Healthcare
10.2003 - 09.2005
Certification - Clinical Lab Assisting
Ogden-Weber Applied Technology College
High School Diploma -
Layton High School
Certification - HealthCare Education
Certified Careers Institute