Michelle Pritchard
Menomonie,WI
Summary
Dynamic Medical Authorization Specialist with proven expertise at Ensemble Health Partners in securing prior authorizations and enhancing team efficiency. Recognized for exceptional customer service and strong organizational skills, adept at navigating high-pressure environments while ensuring compliance with insurance verification processes. Committed to delivering results and fostering collaboration within diverse teams.
Overview
33
33
years of professional experience
1
1
Certification
Work History
Medical Authorization Specialist
Ensemble Health Partners
03.2025 - Current
- Contact various insurance companies Via Websites or Telephone to obtain prior authorizations for imaging procedures.
- Report VA ER and Urgent care visits to the VA
- Contact ordering providers as needed to obtain information and communicate status of prior authorizations
- Multitask as incoming urgent visits that need attention and watch communications in microsoft teams and Email.
- Work as a team with 10 other colleagues to ensure that all tasks are getting completed within deadlines.
Medical Authorization Specialist
Hospital Sisters Health Systems
04.2024 - 03.2025
- Contact various insurance companies Via Websites or Telephone to obtain prior authorizations for imaging procedures.
- Report VA ER and Urgent care visits to the VA
- Contact ordering providers as needed to obtain information and communicate status of prior authorizations
- Multitask as incoming urgent visits that need attention and watch communications in microsoft teams and Email.
- Work as a team with 10 other colleagues to ensure that all tasks are getting completed within deadlines.
Patient Service Representative
Prevea Health Menomonie
09.2022 - 04.2024
- Handled up to 60 calls per shift.
- Scheduled patients
- Checked in up to 60 patients per shift.
- Routed messages to correct pool
- Loaded insurance correctly
- Retrieved all needed documents from patients
- Made reference manuals for closing PSR's and fill in PSR's
- Made Daily deposit
- Trained urgent care PSR'S
Paraprofessional
Menomonie School District
09.2020 - 01.2021
- Administered tube feedings
- Assisted special ed students with academic, personal, emotional, and physical needs.
- Completed weekly data entry for billing needs
Housekeeper
Self Employed Services
Menomonie, Wisconsin
09.2014 - 08.2019
- Managed relationships with 14 clients to deliver exceptional service.
- Implemented effective time management strategies to complete tasks within designated shifts.
- Employed deep-cleaning techniques in areas requiring enhanced sanitation.
- Cultivated client trust through consistent, high-quality service delivery.
Owner Operator
Papa Murphy's of Eau Claire LLC
01.1998 - 12.2008
- Proofed and scheduled Marketing
- Hired, Trained, Motivated, disciplined, and terminated employee
- Handled customer complaints
- Learned and taught with point of sale systems
- Scheduled employees
- Ordered product
- Put systems in place in order to meet labor and food cost goals
Store Manager
Papa Murphy's Arcata, Fortuna, and Eureka California
01.1993 - 12.1998
- Consistently won competitions against surrounding stores
- Made Pizzas, cleaned, and completed prep work
- Did Scheduling
- Placed Ordering
- Handled customer complaints
- Handled all Hiring and firing and addressed personnel issues.
- Took the deposits to the bank daily and Morning paperwork/cash reconciliation
- Orchestrated different competitions to motivate employees to do their best.
Education
Diploma -
Zoe Barnum High
Eureka, California01.1988
Skills
- Customer service excellence
- Strong work ethic
- Organizational skills
- Reliability
- Quick learning
- High-pressure management
- Self-motivation
- Team collaboration
- Leadership skills
- Data entry proficiency
- Inventory management
- Attention to detail
- Prior authorization processes
- Insurance verification expertise
- Medical terminology knowledge
Certification
Basic Life Support, 2023-11-01, 2025-11-01
Timeline
Medical Authorization Specialist
Ensemble Health Partners
03.2025 - Current
Medical Authorization Specialist
Hospital Sisters Health Systems
04.2024 - 03.2025
Patient Service Representative
Prevea Health Menomonie
09.2022 - 04.2024
Paraprofessional
Menomonie School District
09.2020 - 01.2021
Housekeeper
Self Employed Services
09.2014 - 08.2019
Owner Operator
Papa Murphy's of Eau Claire LLC
01.1998 - 12.2008
Store Manager
Papa Murphy's Arcata, Fortuna, and Eureka California
01.1993 - 12.1998
Diploma -
Zoe Barnum High
Similar Profiles
Sharon SmithSharon Smith
Coding Specialist 1, Billing, Denial Specialist at Mercy Health Partners/Ensemble Health PartnersCoding Specialist 1, Billing, Denial Specialist at Mercy Health Partners/Ensemble Health Partners
Samantha MarlattSamantha Marlatt
Specialized Mentor And Revenue Cycle Trainer at Ensemble Health Partners-OU Health /Ardent HealthSpecialized Mentor And Revenue Cycle Trainer at Ensemble Health Partners-OU Health /Ardent Health
Maydey AcostaMaydey Acosta
HIM Specialist at Ensemble Health Partners (Nicklaus Health Client)HIM Specialist at Ensemble Health Partners (Nicklaus Health Client)
Lynice MurrayLynice Murray
Spec Patient Access/ Financial Counselor at Ensemble Health Partners/ Bon Secours Mercy HealthSpec Patient Access/ Financial Counselor at Ensemble Health Partners/ Bon Secours Mercy Health
Kristin HoffmanKristin Hoffman
Radiologic Technologist at Mayo Clinic Health SystemRadiologic Technologist at Mayo Clinic Health System