Laura Stidham
Macomb,MI
Summary
Driven Authorization Specialist with a proven track record at the Chronic Pain Institute, showcasing expertise in medical terminology and exceptional communication skills. Achieved a significant reduction in processing times by overhauling workflow processes, demonstrating a blend of technical proficiency and interpersonal abilities. Committed to enhancing patient care through meticulous attention to detail and collaborative teamwork.
Developed strong communication and organizational skills within fast-paced healthcare environment. Demonstrated proficiency in managing complex data entry and ensuring regulatory compliance. Seeking to leverage these skills in new field to drive operational excellence and support organizational goals.
Offering strong analytical abilities and eagerness to learn in dynamic environment. Brings understanding of medical terminology and regulatory guidelines, ensuring accurate and compliant processes. Ready to use and develop problem-solving and data management skills in [Desired Position] role.
Possessing excellent communication and organizational skills, adept at managing and prioritizing tasks efficiently. Knowledge of healthcare regulations and proficient in data entry and customer service. Committed to ensuring seamless authorization processes that enhance patient care and operational efficiency.
Professional in healthcare industry, bringing valuable experience in authorization management and compliance. Known for delivering reliable and timely authorizations while maintaining robust communication with healthcare teams. Consistently focused on collaborative efforts and achieving results, ensuring organizational goals are met. Skilled in problem-solving and adaptable to changing requirements.
Knowledgeable [Desired Position] with proven track record in managing authorization processes and ensuring compliance with industry standards. Adept at coordinating with team members and healthcare providers, leading to streamlined operations and improved patient satisfaction. Demonstrated expertise in problem-solving and attention to detail, ensuring timely and accurate processing of authorizations.
Brings proven track record of success in determining eligibility and resolving complex cases. Works professionally with clients to develop and implement successful strategies for maximizing services and benefits. Skilled in problem-solving and identifying solutions meeting clients' needs.
Experienced Credit Manager knowledgeable about creditworthiness and document review. Highly effective at optimizing credit policies to balance profit and loss.
Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.
Overview
15
15
years of professional experience
Work History
Authorization Specialist
Chronic Pain Institute
07.2015 - Current
- 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.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
- Assisted in training new team members on company policies and procedures for handling authorization requests.
- Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
- Demonstrated adaptability with changing insurance requirements, maintaining up-to-date knowledge through continuous education efforts.
- Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
- Ensured prompt resolution of denied claims through comprehensive analysis of denial reasons and timely submission of necessary documentation for reconsideration or appeal.
- Developed strong relationships with insurance representatives to expedite approvals and resolve issues promptly.
- Prevented delays in care delivery by proactively identifying potential issues during the pre-authorization process and seeking clarification from providers when needed.
- Improved patient satisfaction by streamlining authorization processes and ensuring timely responses to inquiries.
- Enhanced departmental efficiency with thorough knowledge of insurance guidelines and medical terminology.
- Conducted regular audits of authorization records to verify accuracy and adherence to regulatory requirements, minimizing risk of noncompliance.
- Promoted positive customer experiences by addressing concerns or questions related to authorizations in a professional manner.
- Resolved discrepancies with client applications to verify eligibility.
- Engaged wider departments in accurate, timely paperwork completion.
- Processed and certified documents for accuracy and compliance with government regulations.
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Assisted clients with accurate eligibility form, application and document completion.
- Communicated with people from various cultures and backgrounds on application process.
- Trained staff on current eligibility requirements and policies.
- Maintained full knowledge of current regulatory environment and made proactive adjustments to meet changing requirements.
- Contacted clients about verifying account information and updated services, answered questions and resolved concerns to uphold exceptional customer service standards and promote brand loyalty.
- Collaborated with management to evaluate credit strategies and develop improvements.
- Motivated and encouraged staff to enhance productivity and meet demanding internal and customer targets.
- Monitored accounts for signs of fraud and non-payment issues.
- Monitored client abilities and account information to determine appropriate credit approval decisions.
- Updated client accounts with new information and verified data for informed credit approvals.
Medical Assistant
The Pain Center USA
03.2010 - 07.2015
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms, and allergies.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Performed medical records management, including filing, organizing and scanning documents.
- Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
- Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
- Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
- Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
- Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
- Maintained strict adherence to infection control protocols by following proper sterilization techniques for medical equipment.
- Optimized appointment scheduling processes to minimize conflicts and maximize physician availability for patients.
- Contributed to positive health outcomes by educating patients on preventative measures, treatment plans, and follow-up care instructions.
- Aided in accurate diagnoses by performing laboratory tests and preparing specimens for analysis.
- Reduced wait times by swiftly processing insurance claims, verifying coverage, and obtaining pre-authorizations when necessary.
- Facilitated positive patient experience, greeting patients warmly and providing clear directions within clinic.
- Facilitated patient education on treatment plans and medications, improving understanding and compliance.
- Administered medications and injections as prescribed, adhering strictly to protocols for patient safety.
- Conducted routine laboratory tests to assist in diagnosis and treatment of conditions.
- Contributed to clean and safe clinic environment by adhering to sanitation protocols.
- Improved patient satisfaction, efficiently managing appointment schedules and reducing wait times.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Obtained and documented patient medical history, vital signs and current complaints at intake.
- Collected and documented patient medical information such as blood pressure and weight.
- Prepared lab specimens for diagnostic evaluation.
- Explained procedures to patients to reduce anxieties and increase patient cooperation.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Oriented and trained new staff on proper procedures and policies.
- Measured patient pulse oximetry.
- Collaborated with medical and administrative personnel to maintain patient-focused, engaging, and compassionate environment.
- Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
Education
Medical Assistant - Medical Assistant
Dorsey
Roseville, MI09-2005
Skills
- Medical terminology expertise
- Patient scheduling
- Claims management
- Medical terminology knowledge
- Insurance verification
- Medical terminology
- Data entry proficiency
- HIPAA compliance
- Prior authorization processing
- EMR / EHR
- Medical coding
- Appointment scheduling
- Documentation and paperwork
- Reliable team player
- Effective communication skills
- Policy interpretation
- Electronic medical records
- Proficiency in [software]
- Compassionate
- Resource information
- Telephone etiquette
- Appointment setting
- Eligibility procedures
- Medical billing and coding
- Teamwork
- Multitasking Abilities
- Time management
- Problem-solving abilities
- Medical billing
- Insurance claims
Timeline
Authorization Specialist
Chronic Pain Institute
07.2015 - Current
Medical Assistant
The Pain Center USA
03.2010 - 07.2015
Medical Assistant - Medical Assistant
Dorsey
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