Summary
Overview
Work History
Education
Skills
Affiliations
Accomplishments
References
Timeline
Generic

Laura Walker

Grubville,MO

Summary

Experienced in managing authorization processes and coordinating with medical teams, insurance providers, and patients. Strong skills in assessing patient eligibility for treatments, understanding policy coverage details, and ensuring compliance with healthcare regulations. Showcased ability to streamline workflows, improve system efficiency, and maintain high levels of accuracy in documentation. Proven record of enhancing patient satisfaction through diligent follow-up and timely resolution of queries.

Overview

12
12
years of professional experience

Work History

Benefits and Authorization Coordinator

Urology of St. Louis
St. Louis, Missouri
06.2020 - Current
  • Secured necessary prior authorizations for radiology procedures within a large multispecialty medical group.
  • Secured necessary approvals for expensive oncology medications administered to cancer patients in a multispecialty medical practice.
  • Created detailed documentation of processes related to authorizing services and products.
  • Provided guidance and direction on how to complete authorization forms correctly.
  • Evaluated current policies and procedures related to authorizing services or products, making changes where appropriate.
  • Researched information as necessary to resolve customer inquiries or issues with authorizations.
  • Collaborated with other departments within the organization to ensure timely completion of authorizations.
  • Updated spreadsheets and other document filing systems.
  • Maintained accurate records of all authorizations in the system.
  • Reviewed and addressed appeals for denied authorization requests.
  • Conducted reconsideration processes for denied authorization requests.

Medical Receptionist

Mercy Health
St. Louis, MO
07.2019 - 06.2020
  • Scheduled and confirmed patient appointments and consultations.
  • Entered insurance, demographics and health history into patient database.
  • Compiled and coded patient information or data in appropriate computer system.
  • Answered phones promptly and directed calls appropriately.
  • Performed data entry tasks related to billing and collections procedures.
  • Processed patient payments and scanned identification and insurance cards.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Checked patients in and out for appointments and collected co-payments.

MEDICAL RECEPTIONIST

TEKWANI VISION CENTER
St. Louis, MO
01.2018 - 06.2019
  • Maintained confidentiality of patient information according to HIPAA regulations.
  • Transmitted medical records and other correspondence by mail, e-mail, or fax.
  • Greeted and checked in patients, updating patient information in computer system.
  • Answered multi-line phone system and directed callers to requested personnel and departments.
  • Processed patient payments and scanned identification and insurance cards.
  • Entered insurance, demographics and health history into patient database.
  • Performed data entry tasks related to billing and collections procedures.

Postmaster Replacement

UNITED STATES POSTAL SERVICE
Grubville, MO
09.2012 - 03.2015
  • Collected payments for mail services or goods.
  • Performed daily opening and closing procedures of the post office.
  • Handled mail distribution, money orders, and maintenance of post office boxes.
  • Ensured adequate stock levels of stamps and other retail products.
  • Provided customer service to patrons of the post office.

Education

HIGH SCHOOL DIPLOMA -

GRANDVIEW HIGH SCHOOL
06.1988

Skills

  • Insurance verification expertise
  • Patient confidentiality compliance
  • Medical terminology proficiency
  • Prior authorization
  • Critical thinking
  • Time management
  • Teamwork
  • Effective communication
  • Decision-making
  • Problem-solving
  • Multitasking Abilities
  • Knowledge of healthcare systems

Affiliations

  • My interests and hobbies include gardening,camping, listening to music, crafting and refinishing old furniture.

Accomplishments

  • I have received recognition from several physicians for the work and effort put into getting their patients approved for procedures and tests.

References

References available upon request.

Timeline

Benefits and Authorization Coordinator

Urology of St. Louis
06.2020 - Current

Medical Receptionist

Mercy Health
07.2019 - 06.2020

MEDICAL RECEPTIONIST

TEKWANI VISION CENTER
01.2018 - 06.2019

Postmaster Replacement

UNITED STATES POSTAL SERVICE
09.2012 - 03.2015

HIGH SCHOOL DIPLOMA -

GRANDVIEW HIGH SCHOOL

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Laura Walker