Lauren Hall
Orange Park,FL
Summary
Healthcare Administration Professional with extensive experience in insurance verification and patient access services. Demonstrated effectiveness in coordinating referrals and authorizations, ensuring compliance, and improving patient satisfaction in fast-paced environments.
Overview
19
19
years of professional experience
Work History
Insurance Verification & Prior Authorization Specialist
Baptist Behavioral Health
03.2021 - Current
- Verify insurance eligibility, benefits, copays, deductibles, and out-of-pocket expenses for patients.
- Review insurance plans to determine coverage acceptance and authorization requirements.
- Coordinate referrals and prior authorizations to ensure timely patient access to care.
- Provide accurate benefit information and financial responsibility estimates to patients.
- Utilize Epic EMR to document verification and authorization activities.
- Deliver exceptional customer service while maintaining confidentiality and compliance.
New Patient Coordinator- Referral coordinator
Baptist Behavioral Health
07.2020 - 03.2021
- Registered new patients while ensuring accuracy of demographic and insurance information for seamless care delivery.
- Triaged patient needs and coordinated appropriate services to enhance patient experience and satisfaction.
- Managed appointment scheduling and patient intake processes.
- Verified insurance coverage and authorization requirements.
- Maintained medical records and documentation within EMR systems.
- Managed multi-line telephone communications, addressing patient inquiries to facilitate timely access to care.
Patient financial Specialist II
Wolfson Children’s Hospital
06.2017 - 07.2020
- Submitted authorizations to insurance carriers to maximize reimbursement.
- Scheduled patients within approved authorization periods.
- Coordinated communication between patients, providers, physician offices, and internal departments.
- Managed certification letters and patient documentation.
- Maintained patient confidentiality and compliance with HIPAA regulations.
- Supported daily office operations while managing a high-volume phone system.
Patient Access Representative II
Baptist Medical Center
06.2015 - 06.2017
- Scheduled appointments and procedures for Baptist Health and Wolfson Children’s Hospital patients.
- Registered patients and verified insurance coverage and eligibility.
- Collected copays, coinsurance, and patient financial obligations.
- Educated patients regarding appointment preparation and scheduling options.
- Assisted with onboarding and one-on-one training of new employees.
- Participated in special projects and supported multiple work queues.
- Consistently delivered exceptional customer service.
Home Health Aide
PCA Plus
05.2007 - 01.2015
- Assisted clients with activities of daily living, enhancing comfort and promoting independence.
- Provided physical support while maintaining patient dignity and safety.
- Supported implementation of patient care plans, ensuring timely monitoring of medical needs.
- Communicated patient concerns and updates to supervisors and care teams, facilitating coordinated responses.
- Collaborated effectively within a multidisciplinary care environment.
Education
Master of Arts - Healthcare Adminstration
Walden University
Minneapolis, MN01-2019
Bachelor of Science - healthcare adminstration
University of North Florida
Jacksonville, FL01-2017
Associate of Arts -
Florida State College At Jacksonville
Jacksonville, FL01-2014
Skills
- Prior Authorization
- Insurance Verification
- Benefits Investigation
- Referral Management
- Patient Access Services
- Patient Registration
- Revenue Cycle Support
- Reimbursement Coordination
- Insurance Eligibility Verification
- Medical Terminology
- EMR management
- Epic EMR
- Medical Records Management
- HIPAA Compliance
- Cost review
- Microsoft Excel
- Microsoft Word
- Microsoft Outlook
- Team Collaboration
Timeline
Insurance Verification & Prior Authorization Specialist
Baptist Behavioral Health
03.2021 - Current
New Patient Coordinator- Referral coordinator
Baptist Behavioral Health
07.2020 - 03.2021
Patient financial Specialist II
Wolfson Children’s Hospital
06.2017 - 07.2020
Patient Access Representative II
Baptist Medical Center
06.2015 - 06.2017
Home Health Aide
PCA Plus
05.2007 - 01.2015
Master of Arts - Healthcare Adminstration
Walden University
Bachelor of Science - healthcare adminstration
University of North Florida
Associate of Arts -
Florida State College At Jacksonville