Lynn Tomes
Sacred Heart,MN
Summary
Talented Prior Authorization Representative with years of implementing strategies to secure authorizations for clinical procedures. Expert delivering continuous clinical quality improvement. Superb influencing skills to communicate with credibility, tact and diplomacy.
Overview
27
27
years of professional experience
1998
1998
years of post-secondary education
Work History
Prior Authorization Specialist
CentraCare Health - St. Cloud Hospital
St. Cloud, MN
08.2024 - Current
- Reviewed prior authorization requests for medications.
- Communicated with healthcare providers to gather necessary documentation.
- Utilized electronic health record systems to track authorization status.
- Submitted Prior Authorizations to insurance.
- Sent appeals for denied authorizations.
- Phone calls made to check on Prior Authorization status.
Housekeeping and Laundry Manager
Clara City Care Center
Clara City, Minnesota
10.2018 - 08.2024
- Operated laundry machinery for efficient washing and drying of linens and garments.
- Sorted and categorized laundry items based on fabric type and cleaning requirements.
- Maintained cleanliness and organization of the laundry facility and work areas.
- Scheduled and Managed the departments.
- Supply Manager, did all the chemical and nursing supply orders and organizing.
- Housekeeping of the full facility and overseeing that things were clean.
- Interview and hiring staff
Health Information Specialist
ACMC/ Carris Health
Willmar, Minnesota
10.1998 - 09.2018
- Managed health information systems for accurate patient data tracking.
- Collaborated with clinical staff to ensure compliance with health regulations.
- Analyzed electronic health records for quality assurance and data integrity.
- Before electronic files, we pulled and filed charts.
- Once electronic, scanned records to the electronic charts
- Filled in for outreach clinics.
Education
NA - Business Management
Ridgewater College
Willmar, MN 08.1997 - 01.1998
Willmar High School
Willmar, MNSkills
- Prior authorization processing
- Electronic health records
- Insurance submission
- Management
Timeline
Prior Authorization Specialist
CentraCare Health - St. Cloud Hospital
08.2024 - Current
Housekeeping and Laundry Manager
Clara City Care Center
10.2018 - 08.2024
Health Information Specialist
ACMC/ Carris Health
10.1998 - 09.2018
NA - Business Management
Ridgewater College
08.1997 - 01.1998
Willmar High School