Stacey Hurt
Henderson,TN
Summary
Experienced and results-driven Prior Authorization Nurse known for exceptional problem-solving skills and attention to detail. Successfully implemented streamlined workflows, enhancing efficiency in authorization requests while ensuring seamless care coordination among interdisciplinary teams. Focus on patient advocacy and effective communication.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
9
9
years of professional experience
Work History
Prior Authorization Nurse
Hardeman County Community Health Center
Henderson Tennessee
12.2017 - Current
- Reviewed and processed prior authorization requests for medical services, medication, and advanced imaging
- Mentored junior nursing staff on best practices in prior authorization processes.
- Analyzed denial trends to identify areas for improvement in submission accuracy.
- Developed training materials to support staff understanding of complex authorization policies.
- Participated in interdisciplinary team meetings, collaborating with other healthcare professionals to ensure seamless coordination of care for patients requiring prior authorizations.
- Conducted thorough reviews of medical records, identifying necessary documentation to support prior authorization requests.
- Collaborated with healthcare providers to gather necessary documentation for approvals.
- Educated patients on insurance requirements and coverage options related to prior authorizations.
- Implemented streamlined workflows to enhance efficiency in processing authorization requests.
Education
No Degree - English Composition
Jackson State Community College
Jackson, TNPhlebotomy -
West Tennessee Business College
Jackson09-2015
Medical Assistant -
West Tennessee Business College
Jackson, TN07-2015
Skills
- HIPAA compliance
- Clinical documentation
- Training and mentoring
- Clinical assessment
- Insurance verification
- Care coordination
- Healthcare regulations
- Medical billing
- Pharmacology
- Teamwork and collaboration
- Problem-solving
- Attention to detail
- Time management
- Multitasking
- Compassionate and caring
- CPR certification
- Strong clinical judgment
- Reliability
- Certified in CPR/AED
- Electronic health records
- Monitoring vital signs
- Blood draw and sample collection
- Self motivation
- Professional demeanor
Timeline
Prior Authorization Nurse
Hardeman County Community Health Center
12.2017 - Current
No Degree - English Composition
Jackson State Community College
Phlebotomy -
West Tennessee Business College
Medical Assistant -
West Tennessee Business College