Michelle Lister

PeaceHealth Medical Group

Vancouver, WA

05.2024 - 09.2024

Experienced Regional Referral and Prior Authorization Specialist with over 10 years of expertise in managing and streamlining authorization and referral processes across multiple states, including collaboration with the VA Administration. Strong problem-solving skills and commitment to patient advocacy, coupled with a track record of providing training and support dedicated to maintaining high standards of regulatory compliance, and delivering exceptional service in a fast-paced healthcare environment.
Oversaw the data entry and completion of referral forms/notifications. Obtained insurance pre-authorization for patients and re-authorization of additional treatment. Ensured that insurance carrier documentation requirements are met, and referral support documentation is filed in the patient's medical record.
Efficiently managed correspondence with patients, physicians, specialists, and insurance companies. Ensured practitioners are following standardized guidelines as recommended by evidence-based medicine.
Worked in collaboration with Patient Financial Services to improve the Revenue Cycle process. Continually improved work processes to enhance service and customer relations.

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