Melissa Wetzel
Excelsior Springs,MO
Summary
Driven Authorization Specialist with a proven track record at Ray County Hospital and Healthcare, showcasing expertise in medical terminology and effective communication. Excelled in optimizing workflow processes and exceeding productivity targets by leveraging claims management and cultural competency skills, contributing significantly to team goals and enhancing patient satisfaction.
Overview
25
25
years of professional experience
Work History
Authorization Specialist
Ray County Hospital and Healthcare
2016.03 - Current
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
Business Office Clerk
Ray County Hospital and Healthcare
2016.03 - Current
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
- Enhanced patient satisfaction by efficiently managing the front desk operations and addressing inquiries in a timely manner.
- Developed strong relationships with patients, fostering loyalty and trust in the practice''s services.
Emergency Room Registration Clerk
Ray County Hospital and Healthcare
2016.03 - Current
- Handled high-pressure situations calmly, effectively managing multiple tasks while maintaining a professional demeanor throughout busy shifts in the emergency room.
- Maintained strict adherence to HIPAA regulations, safeguarding sensitive patient information through proper handling and storage practices.
- Simplified billing processes by diligently verifying insurance coverage eligibility before submitting claims for medical services rendered in the emergency room.
- Maintained a professional and compassionate demeanor during interactions with distressed or emotional patients, providing support and reassurance throughout the registration process.
Medical Office Assistant
Northland Internal Medicine
2000.01 - 2012.06
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Updated patient information and insurance details for accurate electronic medical records.
- Used [Software] to schedule appointments for doctor visits and procedures.
- Registered patients and completed associated paperwork for accurate records.
- Prepared patient charts by gathering and organizing medical records ahead of appointments.
- Assisted physicians in providing high-quality care, completing insurance forms and handling referrals promptly.
- Maintained strict compliance with HIPAA regulations, ensuring the confidentiality of sensitive patient information.
- Ensured smooth daily operations by managing incoming calls professionally while addressing inquiries or directing them to appropriate personnel.
- Obtained pre-authorization from insurance companies ahead of medical services.
- Received, recorded and filed medical payments by check, cash, and credit card.
- Reconciled daily payments received and prepared deposits for smooth office finances.
Education
High School Diploma -
Putnam County R-1
Unionville, MO05.1992
Skills
- Medical terminology expertise
- Claims Management
- Medical coding knowledge
- Insurance Verification
- Data entry proficiency
- HIPAA Compliance
- Prior authorization processing
- Effective communication skills
- Cultural Competency
- Disability Awareness
- Telephone Etiquette
- Medicaid knowledge
- Authorizations understanding
Timeline
Authorization Specialist
Ray County Hospital and Healthcare
2016.03 - Current
Business Office Clerk
Ray County Hospital and Healthcare
2016.03 - Current
Emergency Room Registration Clerk
Ray County Hospital and Healthcare
2016.03 - Current
Medical Office Assistant
Northland Internal Medicine
2000.01 - 2012.06
High School Diploma -
Putnam County R-1
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