MARILYN MCKEIGHAN
Council Bluffs,IA
Summary
Dynamic Prior Authorization Specialist with expertise in medical terminology and effective communication, honed at BOYSTOWN NATIONAL RESEARCH HOSPITAL. Proven track record in streamlining authorization processes and ensuring compliance with HIPAA regulations, enhancing patient care through meticulous documentation and problem-solving skills. Committed to optimizing workflows and improving patient outcomes.
Overview
2026
2026
years of professional experience
Work History
Prior Authorization Specialist
BOYSTOWN NATIONAL RESEARCH HOSPITAL
- Maintained organized documentation management systems for tracking authorization requests and approvals.
- Facilitated cross-department collaboration to enhance communication regarding patient care and authorization needs.
- Reviewed and updated patient information to ensure accuracy in authorization requests.
- Monitored regulatory compliance related to insurance authorizations, adapting processes as needed.
NURSE
Creighton University
- Educated patients on medication usage, side effects, and adherence to treatment regimens.
- Conducted health assessments to identify patient needs and inform care strategies.
- Monitored vital signs and reported significant changes to the healthcare team promptly.
- Administered vaccines and performed screenings in accordance with health guidelines.
- Documented patient progress and interventions accurately in electronic health records.
- Performed accurate documentation of patient assessments, interventions, and outcomes in compliance with regulatory standards.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Educated patients on disease management, self-care techniques, and wellness strategies to improve long-term health outcomes.
Nurse
MYRTUE FAMILY PRACTICE
- Monitored vital signs and reported any significant changes to the healthcare team promptly.
- Documented patient interactions and treatment outcomes to ensure accurate medical records.
- Assisted in clinical procedures, ensuring patient comfort and adherence to safety protocols.
- Maintained inventory of medical supplies and equipment, ensuring availability for patient needs.
- Provided compassionate support to patients and families, addressing concerns with empathy.
- Utilized electronic health records to streamline documentation and improve patient care delivery.
Financial Counselor
AON
2019 - Current
- Coordinated with insurance providers to clarify coverage options and benefits for clients.
- Provided one-on-one counseling sessions to address individual financial challenges.
- Contacted insurance providers to obtain key information regarding patient benefits and to submit documentation for accounts.
Prior Authorization Specialist
Heartland Oncology and Hematology
12.2016 - 2019
- Coordinated with healthcare providers to gather necessary documentation for prior authorization submissions.
- Processed insurance authorization requests efficiently, ensuring compliance with internal protocols and regulations.
- Conducted thorough patient eligibility verifications to streamline authorization processes.
- Assist with prior authorization completion with UM dept
Education
Associate of Science - Nursing
DMACC
Carroll, IABachelor of Arts - Psychology
BUENA VISTA UNIVERSITY
STORM LAKE, IAMaster of Science - Psychology
University of Phoenix
Tempe, AZSkills
- Prior authorization process
- Medical terminology
- Authorizations
- Effective communication skills
- Electronic health records proficiency
- Medical terminology knowledge
- Benefit coverage
- Workflow management
- HIPAA compliance
- Precertification requirements
- Eligibility determination
- Problem-solving
- Documentation and paperwork
- Payment collection
Timeline
Prior Authorization Specialist
Heartland Oncology and Hematology
12.2016 - 2019
Prior Authorization Specialist
BOYSTOWN NATIONAL RESEARCH HOSPITAL
NURSE
Creighton University
Nurse
MYRTUE FAMILY PRACTICE
Financial Counselor
AON
2019 - Current
Associate of Science - Nursing
DMACC
Bachelor of Arts - Psychology
BUENA VISTA UNIVERSITY
Master of Science - Psychology
University of Phoenix