Michelle Pacy
Salem
Summary
Experienced Authorization Specialists and Branch Manager with 20 years of expertise in managing patient authorizations, coordinating office operations, and providing exceptional support in healthcare environments. Known for excellent communications, strong time management, and multi tasking skills. I excell at maintaining accurate records, building positive relationships, and ensuring the timely processing of authorizations. Dedicated to improving workflow efficiency and delivering high-quality service in fast paced settings.
Overview
8
8
years of professional experience
Work History
Authorization Specialist
Mobility and Joint Institute
07.2019 - 07.2023
- 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.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
Branch Manager
Fitzgerald Physical Therapy
09.2017 - 06.2019
- Managed and coordinated all authorizations for physical therapy visits, ensuring timely processing and required referrals were obtained
- Oversaw patient check-ins and collected necessary information, maintaining a smooth intake process
- Responsible for opening the branch each day, ensuring operational readiness and facility organization
- Managed inventory by ordering office supplies and maintaining stock levels to meet branch needs
- Ran and balanced daily records, ensuring accuracy and timely reporting
- Provided leadership and supervision to staff, ensuring high standards of patient care and office efficiency
Authorization and Benefits Specialist
ProEx Physical Therapy
02.2015 - 09.2017
- Worked up to 700 accounts a week authorizing PT visits
- Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information
- Developed strong relationships with insurance representatives to expedite approvals and resolve issues promptly.
- Expedited claim processing by submitting complete and accurate information in accordance with payer requirements.
- Updated client accounts with new information and verified data for informed credit approvals.
Education
High School Diploma -
North Andover High School
North Andover06-1985
Skills
- Medical terminology expertise
- Claims management
- Insurance verification
- Data entry proficiency
- Prior authorization processing
- Microsoft office
- Documentation and paperwork
- Appointment scheduling
- Effective communication skills
- Data entry
- Telephone etiquette
Timeline
Authorization Specialist
Mobility and Joint Institute
07.2019 - 07.2023
Branch Manager
Fitzgerald Physical Therapy
09.2017 - 06.2019
Authorization and Benefits Specialist
ProEx Physical Therapy
02.2015 - 09.2017
High School Diploma -
North Andover High School
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