Morgan Petschonek
Florissant,Missouri
Summary
Sr. Prior Authorization Specialist with background in providing exceptional support and resolving customer inquiries. Skilled in communication, problem-solving, and maintaining positive relationships with customers. Demonstrated ability to improve customer satisfaction and loyalty through attentive service and effective issue resolution. Committed to enhancing team performance by sharing knowledge and best practices in customer service operations. Client-centered Eligibility Specialist with a career spent accurately managing records, handling appointment scheduling and overseeing other administrative tasks in fast-paced settings. Ready to tackle new challenges in an office-based environment.
Overview
13
13
years of professional experience
Work History
Machine Operator Technician
Zelis Healthcare
Creve Coeur, MO
03.2022 - 09.2023
- Updated logs of maintenance activities performed on equipment in order maintain records of service.
- Verified production orders prior to starting set-up.
- Ordered replacement parts when needed for maintaining equipment in good working condition.
- Met or exceeded target for on-time customer shipments.
- Documented daily production data and submitted accurate time logs to keep management up-to-date.
- Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
- Utilized various software and tools to streamline processes and optimize performance.
- Identified opportunities for cost savings through improved operational efficiencies.
Sr. Prior Authorization Specialist
Express Scripts
Berkeley, Missouri
02.2011 - 01.2022
- Reviewed claims submitted without valid pre-authorization codes and took corrective action when necessary.
- Evaluated patient eligibility and benefits for requested procedures and medications.
- Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
- Granted, modified, denied, or terminated assistance based on key information and eligibility determination.
- Communicated authorization decisions, including approvals and denials, to healthcare providers and patients.
- Answered questions and responded to inquiries to deliver high level of service to patients.
Education
Diploma -
Hazelwood West High School
Hazelwood, MO12-2010
Skills
- Workflow management
- Scheduling tasks and projects for employees
- Professionalism and ethics
- Process improvement strategies
- Problem Analysis
- Effective communication skills
- Quality assurance practices
- Accurate Data Entry
- Documentation Oversight
- Production Performance Reporting
- Deadline management
- Proficient computer skills and maintaining filing systems
- Efficient Work Order Handling
- Production timeline management
- Relationship building
- Leadership training
References
Available upon request
Timeline
Machine Operator Technician
Zelis Healthcare
03.2022 - 09.2023
Sr. Prior Authorization Specialist
Express Scripts
02.2011 - 01.2022
Diploma -
Hazelwood West High School
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