Open To Work
Megan Kail
Canal Winchester
Summary
Efficient Prior Authorization Specialist skilled in insurance verification and HIPAA compliance. Proven ability to streamline authorization workflows and enhance communication with healthcare providers.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Prior Authorization Specialist
Ohio State University
Columbus Ohio
10.2023 - Current
- Processed prior authorization requests efficiently, ensuring compliance with healthcare regulations.
- Collaborated with healthcare providers to verify patient eligibility and coverage details.
- Utilized electronic medical record systems to track and manage authorization workflows.
- Reviewed and analyzed clinical documentation for accuracy and completeness of submissions.
Medical Assistant
Ohio State Wexner Medical Center
Columbus, Ohio
06.2015 - 10.2023
- Assisted healthcare providers with patient examinations and procedures to ensure quality care.
- Managed patient records using electronic health record (EHR) systems for accuracy and compliance.
- Coordinated appointment scheduling and follow-ups to optimize patient flow and satisfaction.
- Educated patients on treatment plans, medications, and preventive care measures to enhance health literacy.
- Vitals and Rooming
- Billing
- Prior Authorizations
Medical Assistant
Ohio State Wexner Medical Center
11.2014 - 06.2015
- Monitored vital signs and reported changes in patient condition to support clinical decision-making.
- Trained new staff on office protocols, EHR usage, and best practices for patient interaction.
- Improved workflow efficiency by implementing standardized procedures for routine tasks within the clinic.
- Led initiatives to enhance patient experience through feedback collection and process adjustments.
- OB
- Point of Care testing
- Prior Authorizations
Education
Associate of Science - Finance
WV State College University
Institute, WV Certificate - Medical Assisting
Columbus State Community College
Columbus, OHAssociate of Science -
Columbus State Community College
Columbus, OH12-2019
Skills
- Prior authorization process
- Medical terminology
- Medical appeals handling
- Insurance verification
- Authorizations
- Effective communication skills
- Data entry
- Electronic health records proficiency
- Medical office procedures
- Professionalism and ethics
- Billing procedures
- Insurance procedures
- Workflow management
- Retro-authorizations
- Patient confidentiality compliance
- Records maintenance
- Knowledgeable in Epic
- HIPAA compliance
- ICD-10 coding
- CPT coding
- Private insurance
- Precertification requirements
Certification
- Certified Medical Assistant, 10/2014-112/31/2030
Work Preference
Job Search Status
Open to workWork Type
Part TimeFull TimeLocation Preference
RemoteHybridOn-SiteSalary Range
$25/hr - $1000/hrTimeline
Prior Authorization Specialist
Ohio State University
10.2023 - Current
Medical Assistant
Ohio State Wexner Medical Center
06.2015 - 10.2023
Medical Assistant
Ohio State Wexner Medical Center
11.2014 - 06.2015
Associate of Science - Finance
WV State College University
Certificate - Medical Assisting
Columbus State Community College
Associate of Science -
Columbus State Community College