MICHELLE DORFER
Leander,TX
Summary
Experienced medical professional with over 20 years in patient scheduling, registration, referrals, and prior authorization management. Expertise in navigating hospital and outpatient billing complexities. Committed to enhancing patient access to care and actively contributes to team training and product innovation initiatives.
Overview
21
21
years of professional experience
Work History
Intake/Reimbursement Specialist
Fairview Health Services
Shoreview, Minnesota
08.2025 - 08.2026
- Managed referral documentation and ensured compliance with policies.
- Communicated regularly with referring physicians, nurses, case managers, social workers, and other healthcare professionals regarding referral processes and requirements.
- Monitored progress of referral requests to ensure timely processing. and resolved issues to maintain smooth processing.
- Reviewed all documentation associated with each referral request to ensure compliance with relevant regulations.
- Verified referral data from physicians for compliance with standards.
- Assisted patients in understanding insurance and coverage options.
- Assisted patients in understanding their insurance coverage and answered questions about referrals, authorizations, and other related issues.
- Assisted patients by answering questions and providing information regarding referrals.
- Completed day-to-day duties accurately and efficiently.
- Collaborated with diverse coworkers to achieve goals and resolve issues related to products and services.
- Participated in staff meetings and provided feedback on ways to improve procedures related to referral processing.
Patient Access Representative - Emergency Department
ALLINA HEALTH/MERCY HOSPITAL
Coon Rapids, MN
04.2024 - 05.2026
- Facilitated patient check-in, collected demographic and insurance information, and completed necessary paperwork to ensure smooth patient flow.
- Guided patients to their scheduled appointments and procedures within the facility.
- Document any issues and resolutions in electronic medical record.
- Assisted in scheduling add-on appointments to optimize patient access and resource allocation.
- Verify eligibility and benefits information for payers and interpret results.
- Obtain cost information and explain information to patient if necessary, and gather signatures if needed.
- Collect co-pay or deductibles. Determine patient need for financial counseling and offer to explain resources available.
- Use resources, tools and procedures to complete accounts in assigned work queues.
- Provided mentorship and training to new staff members to enhance their skills.
Sr Lead Prior Authorization Specialist Rehabilitation & Imaging Dept.
CHILDREN’S MINNESOTA
Roseville, Minnesota
09.2014 - 08.2025
- Obtained benefit details for ongoing treatment to ensure timely access to necessary services.
- Checked eligibility through insurance company portal or Healthia system to facilitate patient care.
- Completed forms for prior authorizations, appeals, and denial requests to support reimbursement processes.
- Verify monthly medical assistance and PMAP’s eligibility.
- Reviewed and interpreted various CPT and ICD-9 codes for accurate billing.
- Communicates to therapists, support staff and families on coding or billing issues.
- Work with families on handling denials along with clinical and support staff.
- Able to maintain full communication with staff while working remotely.
Front Desk / Medical Records
CENTRAL PEDIATRICS
St. Paul, Minnesota
04.2007 - 09.2014
- Facilitated patient check-in and verified demographic and insurance information, ensuring accurate records for seamless patient flow.
- Transmitted correspondence and medical records via mail, e-mail, or fax server inbox, ensuring timely access to critical information.
- Accurately assigned documents to the correct physician or medical assistant.
- Scanned and organized patients’ documents into electronic records. into accounts and transferring out of the clinic.
- Assisted in deployment of Central Pediatrics custom electronic medical records application, EClinical Works, supporting improved patient data management.
Clinical Support Assistant
CHILDREN’S MINNESOTA
Minneapolis, Minnesota
04.2005 - 03.2007
- Collaborated with physicians and nurses to monitor patients’ vitals, provide personal care, and accurately document information in charts.
- Assisted in positioning patients for blood draws, catheter placements, and IV insertions in clinical settings.
- Facilitated patient transport to treatment units, testing units, operating rooms, and other areas, ensuring timely and safe transfers.
- Collected specimens, including urine, feces, and sputum, ensuring proper handling and documentation.
Education
Medical Assistant -
MINNESOTA SCHOOL OF BUSINESS
Plymouth, MN11-2005
Nursing Assistant degree -
MINNEAPOLIS COMMUNITY AND TECHNICAL COLLEGE
MINNEAPOLIS, MN01-2003
School-Age Certificate -
CONCORDIA UNIVERSITY
ST.PAUL, MN01-1996
Child Development -
METROPOLITAN STATE UNIVERSITY
BLOOMINGTON, MN01-1994
Skills
- Referral management
- Prior authorization expertise
- Insurance verification
- CPT and ICD-9 coding
- EMR management
- Cerner and Epic proficiency
- ECW knowledge
- Appeals management
- Accurate documentation
- Proactive problem-solving
- Critical thinking
- Patient-centered focus
- Team collaboration
- Communication skills
- Medical terminology
Timeline
Intake/Reimbursement Specialist
Fairview Health Services
08.2025 - 08.2026
Patient Access Representative - Emergency Department
ALLINA HEALTH/MERCY HOSPITAL
04.2024 - 05.2026
Sr Lead Prior Authorization Specialist Rehabilitation & Imaging Dept.
CHILDREN’S MINNESOTA
09.2014 - 08.2025
Front Desk / Medical Records
CENTRAL PEDIATRICS
04.2007 - 09.2014
Clinical Support Assistant
CHILDREN’S MINNESOTA
04.2005 - 03.2007
Medical Assistant -
MINNESOTA SCHOOL OF BUSINESS
Nursing Assistant degree -
MINNEAPOLIS COMMUNITY AND TECHNICAL COLLEGE
School-Age Certificate -
CONCORDIA UNIVERSITY
Child Development -
METROPOLITAN STATE UNIVERSITY