Lynda Bager
Administrative/Medical Prior Authorization Specialist
Westwood,New Jersey
Summary
Versatile Administrative professional well-versed in healthcare practices, compliance standards and operations. Excellent problem-solver and clear communicator with positive and upbeat personality. Highly communicative with background helping individuals understand and access affordability options. Talented performer with over twenty years of providing information, direction and service to not only patients but also healthcare providers. Considered team player with exemplary multitasking skills. Goal-oriented with proven history of modernizing traditional office practices to maximize success. Dedicated to organization and collaboration within the healthcare industry.
Overview
10
10
years of professional experience
Work History
Insurance/Precertification Specialist
MPV NJ MD SERVICES
Emerson, NJ
03.2017 - Current
- Answered telephone calls to offer office information, answer questions and direct calls to appropriate staff as well as taking detailed messages.
- Created and maintained spreadsheets detailing medical procedures and insurance denials and approvals.
- Organized patient files and streamlined operations by verifying patient records with most up-to-date information.
- Inputted all gathered information and authorization data into computer system using EPIC.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Communicated with people from various cultures and backgrounds throughout complete prior authorization process.
- Maintained compliance with patient privacy and security regulations such as all HIPPA practices.
- Verified eligibility and compliance with authorization requirements for servicing providers.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Educated patients on eligibility and affordability options by offering insightful information including patient assistance programs.
- Triaged unscheduled and emergency authorizations for rapid response.
Insurance/Prior Authorization Specialist
Hackensack Radiology Group
River Edge, NJ
01.2012 - 01.2017
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Input all patient data regarding prior authorizations into system accurately.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Maintained compliance with patient privacy and security regulations such as all HIPPA practices.
- Increased verification, eligibility and compliance with authorization requirements for ordering and servicing providers.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Triaged unscheduled and emergency authorizations for rapid response.
Education
Retail Business Management
Bergen Community College
Paramus, NJSkills
- Benefits Verifications and Eligibility Requirements
- Telephone Etiquette
- Program Knowledge
- Procedural ICD 10 Coding
- Precertification Processing
- Effective Communication Skills
- Infusion
- Fact-Checking Skills
- Office Support
- Organization and Time Management
- Effective Listening
- Team Meetings
- Financial Documentation
- Office Supplies and Inventory
- Customer Interaction and satisfaction
Additional Information
Previous Position:
The MS Center at Holy Name Hospital between January of 2005-September of 2011. I held the position of Assistant Office Administrator. This was a multifaceted job that encompassed all aspects of a healthcare practice. I have always had success inter-acting with the clinical personnel as well as the doctors. The Center was also a not for profit organization that did fundraising to help support programs to advance the care of their patients. I was always available to assist with their efforts.
I have also volunteered for the Westwood Woman's Club within my community serving in many leadership roles over the years. I have tried to carry my care and concern for people into my work and professional life.
Timeline
Insurance/Precertification Specialist
MPV NJ MD SERVICES
03.2017 - Current
Insurance/Prior Authorization Specialist
Hackensack Radiology Group
01.2012 - 01.2017
Retail Business Management
Bergen Community College
Similar Profiles
Cheling GillCheling Gill
Home Health Aide at MD Healthcare Services Of NJHome Health Aide at MD Healthcare Services Of NJ
Deena BennettDeena Bennett
Administrative Assistant at MPV International IncAdministrative Assistant at MPV International Inc
Mark MoyaMark Moya
Business Analyst at Experian Health, MPVBusiness Analyst at Experian Health, MPV