Summary
Overview
Work History
Education
Skills
Timeline
Generic

Misti S. Unger

New Oxford,PA

Summary

Professional in healthcare industry with strong background in managing authorizations and ensuring compliance. Skilled in navigating complex systems, problem-solving, and maintaining accurate records. Known for effective collaboration, adaptability, and delivering results in fast-paced environments. Reliable team player with expertise in healthcare regulations, communication, and customer service. Professional in healthcare industry, bringing valuable experience in authorization management and compliance. Known for delivering reliable and timely authorizations while maintaining robust communication with healthcare teams. Consistently focused on collaborative efforts and achieving results, ensuring organizational goals are met. Skilled in problem-solving and adaptable to changing requirements.

Overview

30
30
years of professional experience

Work History

AUTHORIZATION SPECIALIST

TrueNorth Wellness Services
03.1994 - 05.2024
  • Over 30 years experience working in the Mental Health field
  • Started as a receptionist in 1994
  • Customer service all throughout my employment.
  • Later in 1994, transitioned to billing department & included accounts receivables duties.
  • Billing insurance companies, employee assistance programs (EAP), auto & workman's comp, Medicare & Medicaid
  • Job transitioned to include requesting/obtaining pre-authorizations for patient services
  • Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
  • Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
  • Demonstrated adaptability with changing insurance requirements, maintaining up-to-date knowledge through continuous education efforts.
  • Conducted regular audits of authorization records to verify accuracy and adherence to regulatory requirements, minimizing risk of noncompliance.
  • Promoted positive customer experiences by addressing concerns or questions related to insurance benefits for appropriate services.
  • Requesting ongoing authorizations in a timely and professional manner.
  • Entering & processing payroll.
  • Entering & updating Human Resources information for new & current staff.
  • Worked with patients requesting to transfer to another therapist.
  • Assisting patients scheduling follow-up appointments.
  • Proven ability to learn quickly and adapt to new situations.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Skilled at working independently and collaboratively in a team environment.
  • Organized and detail-oriented with a strong work ethic.
  • Adaptable and proficient in learning new concepts quickly and efficiently.
  • Demonstrated strong organizational and time management skills while managing multiple projects.

Education

High School Diploma -

Hanover Senior High School
Hanover, PA
06-1986

Skills

  • Insurance verification
  • Data entry proficiency
  • HIPAA compliance
  • Prior authorization processing
  • Medical coding
  • Appointment scheduling
  • Documentation and paperwork
  • Microsoft office
  • Documentation and reporting
  • Data entry
  • Telephone etiquette
  • Recordkeeping and data input

Timeline

AUTHORIZATION SPECIALIST

TrueNorth Wellness Services
03.1994 - 05.2024

High School Diploma -

Hanover Senior High School
Misti S. Unger