Meticulous professional with comprehensive expertise in healthcare regulations and policy documentation, recognized for exceptional data management capabilities and impactful communication, enhancing prior authorization processes and facilitating resolutions.
Overview
11
11
years of professional experience
Work History
Prior Authorization Coordinator
arthritis and rheumatsim associates
Chevy Chase, Maryland
10.2022 - 08.2025
Participated in training sessions as needed to stay current on changes in healthcare industry regulations.
Facilitated resolution between providers, payers, patients, and internal staff on matters related to prior authorizations.
Compiled data from multiple sources for reporting purposes.
Developed policies and procedures related to the use of EHR systems.
Maintained knowledge of current industry trends regarding third party reimbursement policies.
Researched alternative funding sources when required prior authorizations are denied.
Receptionist
Chesapeake Urology
Silver Spring, Maryland
09.2014 - 02.2025
Processed customer payments using cash registers or point-of-sale terminals according to company policies and procedures.
Performed data entry tasks into various computer systems accurately and promptly.
Responded to inquiries from internal staff members regarding office operations.
Scheduled and confirmed appointments, managing a complex calendar for multiple staff members.
Monitored reception area to provide consistently safe, hazard-free environment for customers.
Receptionist Supervisor
Community Radiology
Rockville, Maryland
03.2021 - 10.2022
Monitored the front desk operations, including answering phones, responding to inquiries, and managing incoming and outgoing mail.
Ensured that all receptionists adhered to established safety protocols when handling sensitive information.
Investigated any discrepancies between actual call volumes versus estimated figures.
Tracked and coordinated preventive maintenance and pressing repairs with outside vendors.
Conducted performance evaluations and provided feedback to employees regarding their progress.
Implemented departmental policies and standards in conjunction with management to streamline internal processes.
Reviewed reports on employee attendance, productivity and effectiveness to evaluate performance.