MARSHA ANDERSON
West Tennessee Healthcare Henry County
McKenzie,TN
1
Certification
28
years of professional experience
Experienced LPN with a strong background in prior authorization management, medical necessity review, and healthcare compliance. Known for accurate documentation, clear provider communication, and preventing care delays.
Work History
LPN
12 Years 3 Months- Reviewed authorization requests for medical necessity, eligibility, and plan compliance
- Coordinated prior authorization submissions with providers, payers, and internal teams
- Tracked case status using utilization management and claims processing systems
- Maintained accurate records for approvals, expirations, and follow-up actions
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Demonstrated adaptability with changing insurance requirements, maintaining up-to-date knowledge through continuous education efforts.
- Prevented delays in care delivery by proactively identifying potential issues during the pre-authorization process and seeking clarification from providers when needed.
Licensed Practical Nurse
2 Years 4 Months- Developed strong relationships with insurance representatives to expedite approvals and resolve issues promptly.
- Improved patient satisfaction by streamlining authorization processes and ensuring timely responses to inquiries.
Licensed Practical Nurse
13 Years 5 Months- Triaged incoming patient needs and escalated critical changes promptly to appropriate clinical teams.
- Educated patients and families to increase understanding of condition and best ways to manage.
- Ensured accurate documentation of all patient records, contributing to improved quality assurance measures.
- Obtained Authorizations for Radiology and Surgical Procedures.
- Processed customer payments and posted receipts accurately to maintain current account balances.
Education
Bachelor of Science - Organizational Management
Skills
Prior authorization
Strong communication skills
Critical thinking
Insurance verification expertise
Effective time management
Professionalism and ethics
Patient confidentiality compliance
Medical terminology proficiency
Time management
Attention to detail
Certification
- Licensed Practical Nurse - 1997-Present
Timeline
LPN
West Tennessee Healthcare Henry County
07.2014 - CurrentRead More
Licensed Practical Nurse
Regional Hospital of Jackson
03.2012 - 07.2014Read More
Licensed Practical Nurse
Daniel D Sumrok MD
10.1998 - 03.2012Read More
Bethel University
Bachelor of Science from Organizational Management
Read More