Summary
Overview
Work History
Education
Skills
Timeline
Generic

Lisa Ramgatie

52 Hilliard Avenue, Central Islip

Summary

Dynamic professional with a proven track record at Sight MD, excelling in customer relations and expert problem solving. Achieved a high success rate in prior authorizations through meticulous documentation and analytical thinking. Committed to fostering collaboration and enhancing operational efficiency while maintaining organized records for seamless audits.

Overview

19
19
years of professional experience

Work History

Prior Auth Specialist

Sight MD
11.2021 - Current
  • Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.
  • Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
  • Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
  • Maintained organized records and up-to-date files for all completed and pending authorization requests, ensuring easy access during audits or reviews.
  • Evaluated clinical criteria for approval or denial of services requiring pre-authorization.

Dean

RCA
10.2016 - 06.2021
  • Served as a liaison between students, parents, faculty, and administration to facilitate communication and resolve conflicts.
  • Oversaw disciplinary processes with fairness and consistency while adhering to institutional policies.
  • Developed strategies to improve student behavior school-wide and help teachers better manage classroom environments.
  • Established and enforced clear school-wide disciplinary procedures to protect students and staff.
  • Promoted strategic initiatives to address crucial areas such as student success, diversity, and inclusion.
  • Organized individualized behavior improvement plans for students struggling with compliance.
  • Championed student achievement by recognizing outstanding accomplishments through awards and recognition events.
  • Managed assemblies to recognize student achievement.
  • Mentored new faculty and staff members to promote professional growth and enhance their contributions to the institution.
  • Enhanced school spirit by coordinating extracurricular activities that promoted camaraderie among students.
  • Collaborated with faculty members to enhance curriculum quality and ensure alignment with institutional goals.
  • Created opportunities for parent involvement through workshops, meetings, or volunteering.
  • Helped teachers develop and diversify instruction to better serve students of different skill levels and backgrounds.
  • Streamlined incident response protocols, ensuring swift and fair resolution of student grievances.

Special Education Teacher

Lockhart Elementary School
09.2006 - 06.2016
  • Created and managed IEPs to define student learning objectives and educational strategies, in addition to applying instructional knowledge and methods to support goals.
  • Promoted a positive learning environment through the use of differentiated instruction and individualized support for diverse learners.
  • Modified general education curriculum for special-needs students using various instructional techniques and technologies.
  • Fostered strong relationships with parents and guardians, maintaining open lines of communication to ensure student progress.
  • Improved student behavior management by implementing consistent routines, clear expectations, and positive reinforcement strategies.
  • Participated in ongoing professional development opportunities focused on evidence-based practices in special education teaching methodologies.
  • Cultivated connections and strong student rapport to foster classroom engagement, in addition to recording student progress to inform parents and school administration.

Education

Master of Arts - Special Education

Dowling College
Oakdale, NY
06-2005

Bachelor of Science - Literacy Acquisition

Dowling
Oakdale, NY
06-2002

Skills

  • Customer relations
  • Expert problem solving
  • Analytical thinking
  • Documentation management
  • Collaborative team member
  • Dedicated work ethic
  • Effective communication

Timeline

Prior Auth Specialist

Sight MD
11.2021 - Current

Dean

RCA
10.2016 - 06.2021

Special Education Teacher

Lockhart Elementary School
09.2006 - 06.2016

Master of Arts - Special Education

Dowling College

Bachelor of Science - Literacy Acquisition

Dowling

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