NANCY NELMS

Authorizations Coordinator

Florida Spine Care

08.2010 - Current

Collaborated with healthcare providers to obtain necessary medical information for accurate decision-making on authorizations.
Contributed to the development of departmental policies and procedures by actively participating in meetings and offering valuable insights based on experience and expertise.
Maintained accurate records of all authorization requests, ensuring timely follow-up and resolution.
Streamlined authorization processes by implementing efficient workflow management strategies.
Optimized the use of available resources by regularly reviewing workload distribution among team members, adjusting assignments as needed.
Fostered a positive and supportive work environment by mentoring junior team members and offering guidance on best practices in authorization coordination.
Served as a liaison between patients, providers, and insurance companies, facilitating clear communication channels for optimal outcomes.
Improved customer satisfaction by providing timely updates on the status of their authorization requests.
Expedited approval process by developing strong relationships with insurance companies and key stakeholders.
Maintained consistent follow-up on status of prior authorization requests.
Reviewed documentation for accuracy and assessment of necessity.
Gathered records pertinent to specific problems, reviewed for completeness and accuracy and attached records to correspondence as necessary.
Completed form letters in response to requests or problems identified by correspondence.
Read incoming correspondence to ascertain nature of writers' concerns and to determine disposition of correspondence.