Monika Liwowski
Albany,OR
Summary
Professional in healthcare administration with strong background in managing authorization processes. Adept at ensuring compliance, streamlining workflows, and mitigating risks. Consistent track record of fostering team collaboration and achieving results in dynamic environments. Skilled in navigating complex systems, prioritizing tasks, and maintaining high standards of accuracy and efficiency.
Overview
15
15
years of professional experience
Work History
Prior Authorization Specialist
Myriad Genetic Laboratories
09.2021 - Current
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Verified eligibility and compliance with authorization requirements for service providers.
- Analyzed medical records and other documents to determine approval of requests for authorization.
Prior Authorization Specialist
Reach Healthcare Services
07.2019 - 08.2021
- Collaborated with healthcare providers to ensure proper documentation for successful authorizations.
- Achieved higher accuracy rates in authorizations, utilizing attention to detail and organizational skills.
- Increased efficiency of the authorization process with effective communication among multidisciplinary teams.
- Streamlined workflow processes for faster turnaround times, using data-driven approaches and continuous improvement techniques.
Health Information Technician
2nd.md
10.2014 - 07.2019
- Improved patient data accuracy by meticulously reviewing and updating electronic health records.
- Ensured timely billing of services through accurate coding of diagnoses, treatments, and procedures.
- Provided leadership to new hires including assigning tasks, training, reviewing and answering questions regarding duties
- Maintained a high degree of accuracy in data entry and report generation, ensuring that staff had access to reliable information for decision-making purposes.
Claims Validation Specialist
State of Colorado
05.2010 - 09.2014
- Maintained excellent communication with stakeholders throughout validation projects, keeping them informed about progress and potential challenges.
- Assisted in the preparation of regulatory submissions by providing validation-related documentation, contributing to successful approval outcomes.
- Reduced process variability with the development of robust validation protocols and procedures.
- Reviewed vendor-provided documentation critically assessing their capabilities in meeting project expectations before engaging in collaborations or outsourcing activities.
Education
High School Diploma -
06-1996
Skills
- Proficient Verbal and Written Communication
- Accurate Data Entry
- Service Excellence
- Strong Attention To Detail
- Effective Problem Resolution
- Adaptability Skills
Languages
German
Native or Bilingual
English
Native or Bilingual
Polish
Limited Working
Timeline
Prior Authorization Specialist - Myriad Genetic Laboratories
09.2021 - Current
Prior Authorization Specialist - Reach Healthcare Services
07.2019 - 08.2021
Health Information Technician - 2nd.md
10.2014 - 07.2019
Claims Validation Specialist - State of Colorado
05.2010 - 09.2014
Freiherr-vom-Stein - High School Diploma,
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