Dedicated healthcare administrative specialist with comprehensive experience in managing scheduling, authorization processes, and maintaining data accuracy. Proven ability to streamline operations and improve patient interactions, ensuring compliance with HIPAA regulations while supporting high-quality healthcare delivery.
Overview
29
29
years of professional experience
Work History
Pre-Authorization Specialist
UnityPoint
Cedar Rapids, IA
07.2024 - Current
Monitored and maintained documentation for authorization approvals and denials with accuracy.
Coordinated with healthcare providers to secure necessary authorizations efficiently.
Processed authorization requests using electronic health record systems accurately.
Researched patient eligibility, coverage information, and benefit levels.
Tracked authorization statuses using electronic databases or manual filing systems.
Verified insurance authorizations with payers via telephone or web-based systems.
Reviewed authorization requests for accuracy and completeness.
Monitored daily workflow queues within the department ensuring all tasks are completed accurately and timely.
Processed prior authorization requests in accordance with departmental guidelines.
Administrative Secretary/Referrals/Scheduler
UnityPoint/Jones Regional Medical Center
Anamosa, IA
05.2020 - Current
Coordinated appointments for incoming referrals across various departments and clinics, ensuring timely communication of appointment details to patients.
Managed schedules for several providers, including rooming patients and scheduling follow-up appointments and procedures.
Created and maintained monthly calendars for Outpatient Specialty Clinics to streamline scheduling processes.
Schedule and enter GI procedures for OR on the surgery board.
Answer phone calls and ask appropriate questions to determine which department, provider or staff member could be of service and also provide callers with general information.
Delivers exceptional customer service through direct communication with patients, providers, team members and nursing staff.
Produces monthly stat reports for Outpatient Specialty Clinics.
Help patients complete new patient paperwork.
Coordinated blood drives at the hospital to support community health initiatives.
Adhere to all HIPAA requirements to safeguard patient confidentiality.
UNIT SECRETARY/CNA
UnityPoint/Jones Regional Medical Center
Anamosa, IA
07.2013 - 05.2020
Rendered hands-on assistance to RNs, adhering to medical center policies and procedures.
Conducted routine checks on standard patient vitals, including blood pressure, blood sugar and heart rate.
Scheduled and confirmed appropriate appointments for patients.
Answered telephones and transferred calls to appropriate departments or took messages.
Maintained and entered information into databases.
PATIENT SERVICE REPRESENTATIVE
UnityPoint/Jones Regional/Urgent Care
Anamosa, IA
11.2015 - 02.2017
Verified patient insurance and collected co-pays to streamline payment processes.
Documented and managed patient information in computer system to ensure accurate record-keeping.
Accessed patient information maintaining strict confidentiality to remain compliant with HIPAA regulations.
Directed calls to appropriate departments to enhance communication efficiency. and directed calls to appropriate departments.
Balanced and reconciled cash drawer daily to maintain department's financial accuracy.
Owner
Novel-Tees Screen Printing
Anamosa, IA
05.1997 - 06.2016
Built strong relationships with clients to enhance service delivery and satisfaction.
Implemented quality assurance processes to ensure product excellence.