Summary
Overview
Work History
Education
Skills
Timeline
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Rachel Sterling

Portland,Tennessee

Summary

Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

17
17
years of professional experience

Work History

Authorization Representative

Parallon
01.2015 - Current
  • Demonstrated adaptability by quickly learning new systems and processes as they were introduced within the organization.
  • Assisted in training new Authorization Representatives, sharing best practices to enhance overall team performance.
  • Enhanced overall department productivity by consistently meeting monthly goals for completed authorizations.
  • Communicated required insurance information by telephone to patients, physician offices, third party payers and agencies.
  • Managed high-volume workloads while maintaining a high level of accuracy on all submitted authorizations, showcasing strong attention to detail.
  • Consistently provided prompt follow-up on pending authorizations, ensuring minimal delay in receiving essential medical services.
  • Worked closely with clinical teams to gather needed information in a timely manner, supporting optimal patient care delivery.
  • Conducted thorough reviews of medical documentation before submitting authorization requests.

LPN

The Allergy, Asthma, & Sinus Center
07.2009 - 01.2015
  • Utilized time management skills to prioritize tasks effectively, allowing for efficient completion of daily responsibilities.
  • Evaluated patient histories, complaints, and current symptoms.
  • Assessed patients' temperature, pulse, and blood pressure and recorded in electronic medical records.
  • Gathered lab specimens, ordered testing, and interpreted results to diagnose patients.
  • Performed allergy skin testing
  • Blood draws
  • Administering allergy injections
  • Pulmonary Function Testing
  • Xolair Treatment Coordinator

Resident Services Director

Five Star Quality Care Morningside Assisted Living
07.2007 - 07.2009
  • Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
  • Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
  • Enhanced staff performance by conducting regular evaluations, providing constructive feedback, and offering tailored professional development opportunities.
  • Developed strong relationships with community partners to facilitate continuity of care for patients transitioning between healthcare settings.
  • Planned and assigned workload to nursing staff to direct patient care.
  • Evaluated work performance of nursing personnel to determine wage increases and implement discipline.
  • Monitored and evaluated nursing staff performance, providing feedback and guidance to support standards of care.

Education

LPN - Nursing

Sumner County Practical Nursing Program
Gallatin, TN
12.2004

High School Diploma -

Beech Senior High School
Hendersonville, TN
06.2000

Skills

  • Medical terminology understanding
  • Accuracy and Precision
  • Authorizations understanding
  • Attention to Detail
  • Multitasking Abilities
  • Self-Directed
  • Organization and Time Management

Timeline

Authorization Representative

Parallon
01.2015 - Current

LPN

The Allergy, Asthma, & Sinus Center
07.2009 - 01.2015

Resident Services Director

Five Star Quality Care Morningside Assisted Living
07.2007 - 07.2009

LPN - Nursing

Sumner County Practical Nursing Program

High School Diploma -

Beech Senior High School

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Rachel Sterling