Rachael Rarey
Hilliard,OH
Summary
Dynamic professional with extensive experience at IVIM Health, leading a 15-person team to optimize prior authorization processes. Proven expertise in training within healthcare environments and implementing process improvements. Strong communication and problem-solving skills utilized to enhance operational efficiency. Proficient in leveraging EHR systems to align with organizational objectives.
Overview
9
9
years of professional experience
Work History
Virtual Assistant (Admin)
Zoom Drain
North Houston, Remote
07.2025 - Current
- Coordinated schedules and appointments for service technicians and clients, ensuring timely service delivery.
- Posted and batched jobs in ServiceTitan to maintain accurate job tracking and workflow.
- Reconcile invoices and payments in QuickBooks
- Categorized calls and organized customer records to streamline information retrieval and improve client communication.
- Create and post weekly content to Facebook, Instagram, and LinkedIn
Prior Authorization Manager
IVIM Health
, Remote
05.2023 - 05.2025
- Trained and led 15-person prior authorization team for health and wellness company, ensuring service delivery across 49 states for over 70,000 patient members
- Design prior authorization training programs, processes, and workflows to meet operational goals and anticipate future strategic needs
- Lead the development and implementation of department SOPs and quality standards
- Facilitated communication and collaboration with internal departments, providers, and patients to streamline prior authorization processes
- Identified payor trends and suggested actionable improvements to owners and directors for enhanced operational effectiveness
Care Coordinator
QUANTUM HEALTH
Dublin, Ohio
03.2022 - 09.2022
- Assisted members and providers with navigating complicated and diverse insurance plans
- Minimized out of pocket costs by quoting accurate benefits and resolving complex billing issues with members and service providers
- Contacted servicing providers to obtain relevant information and clinical documentation for completing authorization forms
- Applied innovative solutions to assist members, resolve problems, and follow up on issues within the promised timeframe
- Updated department resources to align with management specifications and improve accessibility
- Mentored and coached new employees during phone training to enhance onboarding experience
- Ensured high quality standards in performance evaluations to support team development
Office Coordinator
JAMES M. LAPIERRE DDS, INC.
Dublin, Ohio
07.2020 - 04.2021
- Coordinated office scheduling to meet patient needs and achieve daily production goals
- Cultivated relationships with specialist offices to facilitate timely patient referrals
- Kept current records of all insurance benefits and provided pre-treatment estimates for patients
- Worked with both patients and insurance companies to obtain claim payments and keep accounts current
- Prepared payment and production reports for end of day reconciliation
- Supported doctor by ordering clinical and office supplies to ensure operational continuity
Medical Biller
OHIO GASTROENTEROLOGY GROUP
Pickerington, Ohio
05.2018 - 07.2020
- Trained 9 front desk staff on insurance collection processes and 4 billing department new hires on eligibility verification.
- Developed training and instructional documents for staff across departments interacting with billing functions to improve understanding and compliance.
- Led training and provided ongoing support to staff during transition from Athena to eClinicalWorks EHR, ensuring successful adoption and workflow continuity.
- Confirmed patient insurance eligibility through detailed verification processes.
- Answered patient and provider billing questions via phone calls and electronic patient portals
- Managed accounts for all infusion patients and consulted with patients on use of copay cards for large patient responsibilities
Billing Specialist
NORTHWEST EYE SURGEONS
Columbus, Ohio
11.2016 - 05.2018
- Trained front desk and clinical staff on insurance collection, verification, and money collection processes to enhance team capability.
- Reviewed clinical notes and coded encounters for insurance claims processing, using ICD-10 guidelines
- Reviewed doctor clinical notes to complete coding for medical billing
- Contacted various insurance companies to reconcile past due claims
- Initiated prior authorizations for procedures
- Maintained accuracy in daily payment records and cash handling to ensure financial integrity.
- Resolved problems and handled difficult customer calls, reducing need for manager escalation.
- Assisted the front desk with patient communication related to billing and insurance related questions
Education
BACHELOR OF SCIENCE - BUSINESS ADMINISTRATION
The Ohio State University
Columbus, OH05.2013
Skills
- Team training
- EHR systems
- Team leadership
- Customer Service
- Adaptability
- Appointment coordination
- Strong communication skills
- Process improvement
- Problem-solving
- Medical coding
- Prior authorization
- Account reconciliation
- Remote collaboration
Timeline
Virtual Assistant (Admin)
Zoom Drain
07.2025 - Current
Prior Authorization Manager
IVIM Health
05.2023 - 05.2025
Care Coordinator
QUANTUM HEALTH
03.2022 - 09.2022
Office Coordinator
JAMES M. LAPIERRE DDS, INC.
07.2020 - 04.2021
Medical Biller
OHIO GASTROENTEROLOGY GROUP
05.2018 - 07.2020
Billing Specialist
NORTHWEST EYE SURGEONS
11.2016 - 05.2018
BACHELOR OF SCIENCE - BUSINESS ADMINISTRATION
The Ohio State University