Natalie Connor
Erie,PA
Summary
Dynamic Authorization Specialist with proven expertise at St. Vincent's Hospital in insurance verification and prior authorization. Adept at enhancing customer service and ensuring documentation accuracy, I effectively resolved complex issues while maintaining a focus on patient eligibility and benefits. Recognized for critical thinking and detail orientation in fast-paced environments.
Overview
23
23
years of professional experience
Work History
Authorization Specialist
St. Vincent's Hospital
Erie, PA
09.2002 - Current
- Verified insurance authorizations with payers via telephone or web-based systems.
- Provided customer service to internal and external customers related to authorization requests.
- Coordinated communication between providers, patients, payers, and other departments as needed.
- Entered data into electronic medical record system accurately and efficiently.
- Prepared appeal letters on behalf of clients when necessary to resolve disputes with insurers.
- Ensured timely submission of accurate documentation to support payment of services rendered by providers.
- Researched patient eligibility, coverage information, and benefit levels.
- Responded to client inquiries and concerns and escalated complex problems to department supervisors.
- Reviewed authorization requests for accuracy and completeness.
- Processed prior authorization requests in accordance with departmental guidelines.
- Monitored daily workflow queues within the department ensuring all tasks are completed accurately and timely.
Education
Bachelor of Arts - Social Behavioral Science
Pennsylvania State University
Erie, PA12-1995
Skills
- Insurance verification
- Data entry
- Prior authorization
- Appeal preparation
- Documentation accuracy
- Patient eligibility research
- Customer service
- Detail orientation
- Problem solving
- Effective communication skills
- Telephone etiquette
- Critical thinking
- Problem-solving
References
References available upon request.
Timeline
Authorization Specialist
St. Vincent's Hospital
09.2002 - Current
Bachelor of Arts - Social Behavioral Science
Pennsylvania State University
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