Lindsey Wing
Shared Services Center
Van Buren
7
years of professional experience
Skilled Authorization Specialist with a strong background in medical terminology and insurance verification. Demonstrated success in collaborating with healthcare providers to process authorization requests efficiently and maintain compliance with insurance guidelines.
Work History
Authorization Specialist
3 Years- Processed prior authorization requests efficiently to ensure timely patient access to medications.
- Reviewed clinical documentation for accuracy and compliance with insurance guidelines.
- Collaborated with healthcare providers to gather necessary information for authorization approvals.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Verified eligibility and compliance with authorization requirements for service providers.
Patient Service Representative
8 Months- Managed patient scheduling and appointment confirmations to enhance operational efficiency.
- Coordinated communication between medical staff and patients to facilitate seamless care delivery.
- Maintained accurate patient records using electronic health record (EHR) systems for compliance and accessibility.
- Resolved patient concerns promptly, improving overall satisfaction and fostering positive relationships.
Credentialing Specialist
1 Year 1 Month- Reviewed applications for completeness and accuracy, identifying areas for improvement.
- Streamlined credentialing workflows, reducing processing time through improved documentation practices.
- Collaborated with cross-functional teams to resolve discrepancies in provider information.
- Maintained up-to-date records in credentialing databases and tracking systems for audits.
- Provided training and support to new staff on credentialing policies and procedures.
- Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
Credentialing Specialist
2 Years 1 Month- Managed provider credentialing processes to ensure compliance with organizational standards.
- Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
- Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
- Enrolled providers and Medicaid, Medicare, and private insurance plans.
Education
High School Diploma
Skills
Medical terminology expertise
Claims management
Insurance verification
Data entry proficiency
Prior authorization processing
Appointment scheduling
Documentation and reporting
Timeline
Authorization Specialist
Shared Services Center
08.2023 - CurrentRead More
Patient Service Representative
Mercy Orthopedic Hospital
12.2022 - 08.2023Read More
Credentialing Specialist
The Guidance Center Inc
11.2021 - 12.2022Read More
Credentialing Specialist
Friendship Community Care
10.2019 - 11.2021Read More
Forrest City High School
High School Diploma
Read More