Lana Richart
Granger,IN
Summary
I am looking to broaden my work experience and would like to find an administrative or other position outside of the medical field. I believe I can bring a high level of professionalism, customer service and organizational skills to my new employer.
Overview
11
11
years of professional experience
Work History
Medical Referral and Authorization Specialist
Nephrology Physicians LLC.
Mishawaka, IN
01.2022 - 05.2026
- Processed patient authorizations efficiently to ensure timely access to nephrology services.
- Collaborated with healthcare providers to gather necessary documentation for authorization requests.
- Reviewed and analyzed insurance policies to determine coverage eligibility for patients.
- Maintained accurate records of authorization statuses within electronic health record systems.
- Communicated effectively with patients regarding their authorization status and next steps.
- Identified trends in authorization denials, proposing solutions to improve approval rates.
- Assisted in developing streamlined processes to enhance efficiency in the authorization workflow.
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
- Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
- Ensured prompt resolution of denied claims through comprehensive analysis of denial reasons and timely submission of necessary documentation for reconsideration or appeal.
- Demonstrated adaptability with changing insurance requirements, maintaining up-to-date knowledge through continuous education efforts.
- Enhanced departmental efficiency with thorough knowledge of insurance guidelines and medical terminology.
Surgery Coordinator
St. Joseph Physician Regional Medical Center
Mishawaka, IN
09.2020 - 01.2022
- Coordinated surgical schedules, ensuring optimal utilization of operating rooms and resources.
- Developed training materials for new staff, reinforcing operational standards in surgery coordination.
- Implemented process improvements, reducing scheduling conflicts and increasing patient satisfaction scores.
- Analyzed workflow data to identify bottlenecks, driving initiatives for continuous improvement in surgery operations.
- Verified insurance coverage and benefits and communicated directly with patient for timely scheduling of clinic appointment and surgery procedure.
- Streamlined communication between surgeons, patients, and hospital staff for seamless surgery coordination.
- Enhanced patient experience by efficiently scheduling surgeries and coordinating necessary pre-operative appointments.
- Provided exceptional customer service to patients and their families throughout the surgical process, earning consistent positive feedback from both parties.
- Reduced patient wait times for surgeries by optimizing scheduling processes and ensuring all required documentation was in order.
- Assisted in the training and onboarding of new surgery coordinators, promoting a supportive team atmosphere and helping ensure consistent standards of care.
- Regularly reviewed surgical schedules to identify potential areas for improvement, making data-driven recommendations to optimize efficiency and patient experience.
- Communicated with patients on phone and in person to enter and update medical history in database.
- Increased patient satisfaction with pre-surgery preparation by providing clear instructions and addressing any concerns or questions.
- Maintained efficient surgery schedule by monitoring daily activities and resolving potential conflicts.
- Coordinated testing, labs and other diagnostic data for proper clearance prior to surgery.
- Arranged pre-operative and post-operative appointments for surgical patients.
Surgery Scheduler
General and Vascular Surgery
Mishawaka, IN
09.2015 - 09.2020
- Coordinated surgical schedules to optimize physician availability and patient outcomes.
- Managed appointment logistics using electronic medical record systems for streamlined operations.
- Communicated effectively with patients regarding pre-operative instructions and appointment confirmations.
- Collaborated with clinical staff to ensure timely processing of surgical authorizations and referrals.
- Handled urgent requests effectively, prioritizing cases requiring immediate attention while also balancing routine surgery demands appropriately.
- Demonstrated adaptability in managing last-minute schedule changes while minimizing disruption to overall workflow.
- Resolved scheduling conflicts to maintain high-quality patient services.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Elevated patient experience by providing empathetic support throughout the entire surgical journey-from initial consultation to post-operative follow-up appointments.
- Developed relationships with referring physicians'' offices, fostering strong communication channels that benefitted both parties in coordinating patient care.
- Improved patient scheduling efficiency by streamlining appointment booking processes.
Education
High School Diploma -
Hayes Correspondence
Atlanta, GA03-1993
Skills
- HIPAA compliance
- Prior authorization processing
- Appointment scheduling
- Effective communication skills
- Telephone etiquette
- Confidentiality
- Customer service
- Time management
- Multitasking
- Reliability
- Critical thinking
- Deadline management
Timeline
Medical Referral and Authorization Specialist
Nephrology Physicians LLC.
01.2022 - 05.2026
Surgery Coordinator
St. Joseph Physician Regional Medical Center
09.2020 - 01.2022
Surgery Scheduler
General and Vascular Surgery
09.2015 - 09.2020
High School Diploma -
Hayes Correspondence