Summary
Overview
Work History
Education
Skills
Timeline
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Natasha Tyson

New Ringgold,PA

Summary

Hardworking Prior Authorization Specialist with successful background working closely with insurance company representatives to gain preapproval for procedures and testing. Detail-oriented performer with over 6 years of managing documentation. Considered team player with exemplary multitasking skills.

Overview

8
8
years of professional experience

Work History

Prior Authorization Coordinator

The Heart Care Group, P.C.
01.2017 - Current
  • Verified eligibility and compliance with authorization requirements for service providers.
  • Fielded telephone inquiries on authorization details from plan members and medical staff.
  • Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
  • Tracked referral submission during facilitation of prior authorization issuance.
  • Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
  • Input all patient data regarding claims and prior authorizations into system accurately.
  • Responded to inquiries from healthcare providers regarding prior authorization requests.

Township Secretary

Schuylkill Township
10.2015 - 01.2017
  • Answered multi-line phone system and enthusiastically greeted callers.
  • Scheduled appointments and conducted follow-up calls to clients.
  • Maintained daily report documents, memos and invoices.
  • Maintained office supplies inventory by checking stock and ordering new supplies.
  • Provided clerical support to company employees by copying, faxing, and filing documents.
  • Entered data into system and updated customer contacts with information to keep records current.

Education

Certification - Phlebotomy

McCann School of Business And Technology
Pottsville, PA
04.2011

Skills

  • Payment Collection
  • Computer Proficiency
  • Creative Thinking
  • Electronic Health Records Systems
  • Health Insurance Plan Knowledge
  • Retro-Authorizations
  • Patient Health Information Access
  • Medical Information Collection

Timeline

Prior Authorization Coordinator

The Heart Care Group, P.C.
01.2017 - Current

Township Secretary

Schuylkill Township
10.2015 - 01.2017

Certification - Phlebotomy

McCann School of Business And Technology

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Natasha Tyson