Summary
Overview
Work History
Education
Skills
Timeline
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Philomena Ngwodo

Nashville,TN

Summary

Adept at managing prior authorizations and enhancing patient satisfaction at HCA Healthcare, I streamlined documentation processes and boosted productivity. With a strong foundation in HIPAA compliance and effective communication, my work at Brookdale Senior Living Solutions optimized workflows, demonstrating my ability to adapt and excel in dynamic healthcare environments.

Overview

17
17
years of professional experience

Work History

Prior Authorization Coordinator

HCA Healthcare: Corporate
06.2018 - Current
  • Improved patient satisfaction by efficiently managing prior authorization requests and ensuring timely approvals.
  • Reduced errors in documentation by meticulously reviewing medical records and verifying patient information.
  • Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
  • Collected and processed patient liability statements prior to service.

Document Tracker

Brookdale Senior Living Solutions
10.2016 - 06.2018
  • Collaborated with colleagues across different departments to optimize workflows that led to streamlined processes within the organization as a whole.
  • Collaborated with team members to develop more efficient tracking methods, resulting in increased productivity.
  • Identified potential issues early on through proactive monitoring which helped prevent costly delays or setbacks later down the line.
  • Evaluated new technologies to remain current on industry trends and provide cutting-edge solutions for clients'' needs.

Editor-in-Chief-Midwest Times Newspaper

Midwest Times
04.2012 - 09.2013
  • Developed publication website, blogs and social media presence.
  • Increased readership through strategic content planning and audience engagement techniques.
  • Optimized online presence by implementing SEO best practices in articles and website design elements.
  • Maintained open lines of communication between departments to ensure seamless collaboration on cross-functional initiatives.

Press Secretary

Oredo Local Government
03.2008 - 09.2011
  • Conducted thorough research to maintain current knowledge of industry trends and relevant news stories.
  • Built strong relationships with key journalists, resulting in increased media opportunities for the organization.
  • Coordinated responses to negative press, mitigating potential harm to the organization''s reputation.
  • Streamlined internal communications processes to improve efficiency and ensure accuracy of messaging throughout the organization.

Education

Bachelor of Science - Professional Studies-Healthcare Administration

Middle Tennessee State University
Murfreesboro, TN
08.2024

Associate of Science - Criminal Justice(CSI)

Nashville State Community College
Nashville, TN
05.2020

Skills

  • Authorizations
  • Benefit Coverage
  • HIPAA Compliance
  • Strong Organization
  • Healthcare industry understanding
  • Insurance Verification
  • Data entry proficiency
  • Medical terminology knowledge
  • Documentation expertise
  • Understanding of insurance details
  • Effective communication skills
  • Critical thinking abilities
  • Insurance procedures

Timeline

Prior Authorization Coordinator

HCA Healthcare: Corporate
06.2018 - Current

Document Tracker

Brookdale Senior Living Solutions
10.2016 - 06.2018

Editor-in-Chief-Midwest Times Newspaper

Midwest Times
04.2012 - 09.2013

Press Secretary

Oredo Local Government
03.2008 - 09.2011

Bachelor of Science - Professional Studies-Healthcare Administration

Middle Tennessee State University

Associate of Science - Criminal Justice(CSI)

Nashville State Community College

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Philomena Ngwodo