MaKenzie Flower
Emmett,United States
Summary
Demonstrated expertise in obtaining and reviewing prior authorizations, including strong understanding of insurance guidelines. Well-experienced in digital file organization as well as improving processes to accurately and efficiently store and release health information. Strong understanding of business office operations and revenue cycle workflow. Goal-oriented and reliable, placing a firm emphasis on teamwork and customer service.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Prior Authorization Specialist
Valor Health
Emmett, ID
02.2026 - Current
- Evaluate prior authorization requests to ensure compliance with insurance policies and procedures.
- Coordinate communication between healthcare providers and insurance companies to facilitate timely approvals.
- Verify eligibility to meet authorization requirements for service providers.
- Review clinical criteria for approval or denial of services requiring pre-authorization.
- Research denied claims and submit appeals to payers to resolve these issues.
- Work alongside billing department to ensure accuracy in all areas of revenue.
Medical Records Clerk
Valor Health
Emmett, ID
01.2023 - 01.2026
- Scanned and organized medical records in digital format for easy retrieval and accessibility.
- Updated and monitored electronic health records to ensure chart completion.
- Maintained confidentiality of patient data in compliance with HIPAA regulations.
- Responded effectively to requests for medical records from legal representatives, insurance companies, and other authorized parties in a timely manner.
- Populated data and accurately enter into Excel spreadsheets.
Medical Records Assistant
Genesis Healthcare
Boise, ID
03.2020 - 06.2020
- Updated record-keeping processes for increased efficiency in the storage and retrieval of patient information.
- Collaborated with outside healthcare professionals to retrieve and verify patient information as needed.
- Supported the transition from paper-based to electronic record systems, facilitating smoother workflows.
Education
High School Diploma -
Emmett High School
Emmett, ID05-2019
Skills
- Written and verbal communication
- Medical terminology
- Records management
- Data entry
- Insurance verification
- Excellent time management
Certification
CPR/BLS certified
Timeline
Prior Authorization Specialist
Valor Health
02.2026 - Current
Medical Records Clerk
Valor Health
01.2023 - 01.2026
Medical Records Assistant
Genesis Healthcare
03.2020 - 06.2020
High School Diploma -
Emmett High School