Overview
Work History
Education
References
Timeline
Generic

Meagan Mosher

Rome,PA

Overview

7
7
years of professional experience

Work History

HR Administrative Assistant

The Childrens Home of Wyoming
Binghamton, NY
07.2024 - Current
  • Coordinated employee benefits programs, including health insurance and retirement plans.
  • Handled confidential information with discretion and integrity.
  • Created presentations about human resources topics such as benefits packages or career development opportunities.
  • Managed recruitment processes, including posting job ads, screening applications, and coordinating interviews.
  • Conducted orientation sessions for new employees.
  • Updated job descriptions for existing positions and created new ones for open roles as needed.
  • Coordinated onboarding activities including orientation sessions for new employees.
  • Enforced HR policies and advised employees on labor regulations and company procedures.
  • Assisted in conflict resolution processes and acted as a liaison between employees and management.
  • Conducted employment verification and background investigation to facilitate hiring process.
  • Prepared materials and reports for compliance audits.
  • Conducted background checks and employment verifications for potential hires.
  • Created, organized, and maintained employee personnel files to keep sensitive data secure.
  • Processed paperwork related to grievances, performance evaluations, classifications and employee leaves of absence.
  • Supported recruitment with resume screening, interview scheduling and candidate job offers.
  • Supported the performance review process by collecting and summarizing employee evaluations.
  • Gathered personnel records from other departments or employees.
  • Supported HR projects, such as employee satisfaction surveys and exit interviews.
  • Prepared documentation required for workers' compensation claims or unemployment benefits applications.
  • Updated HR databases with employee changes in position, salary, and personal information.
  • Scheduled appointments, meetings and conferences with employees to discuss and mitigate personnel issues.
  • Filed documents, delivered mail and performed bookkeeping to facilitate office operations of HR department.
  • Answered phone calls, responded to emails and provided general information regarding human resources matters.
  • Facilitated new hire orientations and employee training sessions.
  • Explained company personnel policies, benefits and procedures to employees or job applicants.
  • Coordinated new employee onboarding with orientation scheduling and preparation.
  • Organized and attended hiring events and participated in job fairs to network with potential candidates.
  • Provided administrative support to the HR department, including document preparation and calendar management.
  • Compiled reports on employee performance evaluations and submitted them for review.

Cage Cashier

Tioga Downs Casino Resort
Nichols, NY
02.2024 - 07.2024
  • Counted and verified cash amounts at shift start and balanced funds prior to shift end or close.
  • Redeemed coins and tokens for cash at customer request.
  • Cashed out employee tips and worked with slot technicians to pay out jackpots.
  • Completed all gaming forms and reports and assisted customers with credit-related problems.
  • Maintained confidentiality of customers' transactions.
  • Verified accuracy of transaction reconciliations and exchange summary report.
  • Reconciled daily summaries of transactions to balance books.
  • Prioritized and organized tasks to efficiently accomplish service goals.
  • Exceeded customer satisfaction by finding creative solutions to problems.

Prior Authorization Representative

Arnot Ogden Medical Center
Elmira, NY
01.2020 - 02.2024
  • Followed up on pending prior authorization requests to ensure timely processing.
  • Conducted regular audits of authorization records to ensure compliance with regulatory standards.
  • Collaborated with internal departments to provide account status updates.
  • Negotiated with drug manufacturers and insurance providers to obtain coverage for off-label or non-formulary medications.
  • Assisted healthcare providers with appeals for denied authorizations, including gathering additional information and documentation.
  • Developed strategies for resolving complex issues concerning benefit coverage determinations.
  • Collaborated with typists and executives to meet customer and writer requests.
  • Reviewed and processed prior authorization requests for medical procedures and medications according to established guidelines.
  • Conducted periodic audits of documentation submitted with prior authorization requests.
  • Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
  • Monitored changes in insurance policies and guidelines to ensure compliance with prior authorization processes.
  • Educated healthcare providers on prior authorization requirements and insurance formulary changes.
  • Assisted in the development of educational materials for patients about the prior authorization process and insurance benefits.
  • Coordinated with pharmacy staff to ensure medications requiring prior authorization are processed correctly.
  • Educated customers about the prior authorization process including applicable deadlines.
  • Clarified patient inquiries and questions to update patient account information in computer system.
  • Maintained files for referral and insurance information, entering referrals into system.
  • Trained new staff on prior authorization procedures and company policies.
  • Performed detailed medical reviews of prior authorization request, following established criteria and protocols.
  • Maintained accurate records on all prior authorizations requested, received, and denied.
  • Utilized medical coding knowledge to accurately process and document authorization requests.
  • Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions.
  • Contacted insurance companies to obtain necessary preauthorizations needed for upcoming tests and procedures.
  • Identified opportunities for improvement in existing processes and procedures related to prior authorizations.
  • Reviewed prior authorization requests for completeness and accuracy.
  • Analyzed trends in authorization denials and reported findings to management for quality improvement initiatives.
  • Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
  • Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
  • Followed all Medicare, Medicaid, HIPAA and private insurance regulations and requirements.
  • Input claim, prior authorization, and other important medical data into system.
  • Verified patient's insurance eligibility prior to appointment date for payment purposes.
  • Evaluated clinical information provided by providers against specific criteria set forth by health plans.
  • Coordinated with healthcare providers to gather necessary patient information for prior authorization requests.
  • Notified ordering providers of denied authorizations.
  • Maintained accurate and up-to-date records of authorization requests and outcomes in electronic health record systems.
  • Researched and compiled information for reports.
  • Coordinated resolutions for issues and appealed denied authorizations.
  • Researched medical policies to ensure appropriate coverage of services.

Nursing Care Partner

Guthrie Robert Packer Hospital
Towanda, PA
08.2017 - 01.2020
  • Delivered personal nursing assistance in pre- and post-operative situations.
  • Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
  • Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
  • Administered oral, IV and intra-muscular medications and monitored patient reactions.
  • Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
  • Monitored post-op vitals, set up PCA, fluids, reviewed post-op orders and assimilated patients to unit.

Education

High School Diploma -

Northeast Bradford
Rome, PA
06.2007

References

Jodi. Snyder

570-395-0250

Christina. Potts

607-742-0395

Timeline

HR Administrative Assistant

The Childrens Home of Wyoming
07.2024 - Current

Cage Cashier

Tioga Downs Casino Resort
02.2024 - 07.2024

Prior Authorization Representative

Arnot Ogden Medical Center
01.2020 - 02.2024

Nursing Care Partner

Guthrie Robert Packer Hospital
08.2017 - 01.2020

High School Diploma -

Northeast Bradford

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