Sarah Patterson
Fairmont,WV
Summary
Dynamic Insurance Specialist II at WVU Medicine with expertise in EPIC charting and medical coding. Proven ability to enhance financial clearance processes, ensuring optimal surgery schedules. Skilled in employee training and problem-solving, I drive team success and organizational efficiency while minimizing write-offs. Committed to excellence in patient care and operational effectiveness.
Overview
3
3
years of professional experience
Work History
Insurance Specialist II
WVU Medicine
REMOTE
05.2022 - Current
- Responsible for obtaining authorizations for elective procedures, services, and tests to financially clear patients prior to services being rendered.
- Payor resources, and any other applicable reference material, such as payor and medical policies, are utilized to verify accurate prior authorization requirements.
- Cases are to be coded, and clinical documentation reviewed to ensure that the documentation is complete.
- Escalates financial clearance risks as appropriate, in compliance with the Financial Clearance Program.
- This role is key to securing reimbursement and minimizing organizational write offs, while supporting the goals of keeping surgery room and schedules at optimal levels.
- In addition to these general authorization team requirements, I am personally responsible for responding to, working on, and directing the flow of EPIC messages sent to the authorization team from all WVU Medicine providers.
- I have also trained multiple team members in these daily requirements to help them excel in their own Insurance Specialist roles.
Visual Merchandising Assistant
Furniture Connection
Clarksville, TN
11.2021 - 04.2022
- Maintained the floor appearance of Ashley HomeStore Outlet and Furniture Connection Outlet.
- Used sales data and problem-solving skills to determine the optimum furniture placement.
- Managed the Transfer Team effectively in their placement and transfer of furniture to and from each store.
- Updated pricing in STORIS, and tagged items accordingly.
- Worked with store managers to achieve target sales goals.
- Reported floor needs, and transfer reports to management.
Education
Associate of Arts - Social And Behavioral Sciences
Mira Costa College
Oceanside, CA05-2014
Skills
- EPIC charting
- Medical coding
- Employee training
- Problem solving
- Quick learner
- Merchandise design
- Communication
- Time management
References
References available upon request.
Timeline
Insurance Specialist II
WVU Medicine
05.2022 - Current
Visual Merchandising Assistant
Furniture Connection
11.2021 - 04.2022
Associate of Arts - Social And Behavioral Sciences
Mira Costa College
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