Qualified Pre Certification Supervisor with solid background in pre-certification processes and patient coordination. Demonstrated proficiency in managing pre-certification workflows, ensuring compliance, and enhancing patient satisfaction. Proven ability to streamline operations while effectively utilizing communication and organizational skills.
Overview
9
9
years of professional experience
Work History
Pre-Certification Coordinator
Cabell Huntington Hospital
06.2016 - Current
Obtained authorizations for admissions/procedures.
Verified insurance policies for accuracy.
Verified patient demographics for accurate billing.
Coordinated pre-certification processes to ensure timely approvals for patient procedures.
Implemented workflow improvements that reduced processing time for pre-certification requests.
Mentored junior staff on best practices for patient insurance verification and authorization procedures.
Developed training materials that improved team understanding of insurance policies and regulations.
Improved communication between hospital departments by coordinating with medical staff, insurance providers, and patients to ensure timely precertifications.
Certified Nursing Assistant at Cabell Huntington Hospital: Hoops Family HospitalCertified Nursing Assistant at Cabell Huntington Hospital: Hoops Family Hospital