Stephanie Shaw
Linden
Summary
Authorization Specialist
Healthcare professional prepared for role with strong background in managing prior authorizations and fostering positive relationships with healthcare providers and insurance companies. Known for collaborative approach and consistently achieving results despite changing needs. Proficient in medical terminology, insurance guidelines, and effective communication.
Overview
24
24
years of professional experience
Work History
Prior Authorization Specialist (remote)
Henry Ford Health System
10.2020 - Current
- Obtained authorization requests via specific insurance portals and confirmed insurance coverage was in place for the proposed services
- Addressed concerns regarding authorization denials with medical staff.
- Communicated quickly with my clinics with any requests and tracked progress of my cases.
- Verified information from clinic schedules to make sure a therapy plan was assigned.
OET COE Advisor
Diplomat Specialty Pharmacy
04.2015 - Current
- Liaison between company, patients, payors, pharmaceutical manufacturer and provider office
- Process prescriptions making sure all necessary information including insurance verification is available to process orders
- Contact patients and provider offices to schedule deliveries, inform of co-payments, confirm address
Certified Pharmacy Technician
Genesys Medical Center
01.2015 - 04.2015
- Accurately pulled medications from shelves for pyxis replenishment and delivered them to various patient care areas
Certified Pharmacy Technician
Rite Aid
09.2013 - 04.2015
- Accurately and efficiently prepared prescription orders
- Maintained inventory levels
- Excellent customer service
Medical Insurance Bookkeeper/Biller
Cookingham Allergy & Asthma
01.2001 - 01.2011
- Performed general office duties
- Kept detailed financial records, Billed on HICFA 1500 forms, electronic billing
- Interviewed patients to obtain medical information and obtained vital signs
Education
Pharmacy Technician Class -
Mott Community College
Flint, MI05.2013
EMT-B -
Stat EMS
Flint, MI09.2011
Associates of Applied Science - Business Management
Mott Community College
Flint, MI05.2000
Skills
- National CPht certified
- State Licensed pharmacy technician
- Experienced in Microsoft Word
- Skilled in Navigating Epic and Insurance Platforms
- Excel and Google Sheets Proficiency
- Detail-Oriented Focus
- Willingness to learn
- Collaborative Team Member
- Prior authorization process
Timeline
Prior Authorization Specialist (remote)
Henry Ford Health System
10.2020 - Current
OET COE Advisor
Diplomat Specialty Pharmacy
04.2015 - Current
Certified Pharmacy Technician
Genesys Medical Center
01.2015 - 04.2015
Certified Pharmacy Technician
Rite Aid
09.2013 - 04.2015
Medical Insurance Bookkeeper/Biller
Cookingham Allergy & Asthma
01.2001 - 01.2011
EMT-B -
Stat EMS
Associates of Applied Science - Business Management
Mott Community College
Pharmacy Technician Class -
Mott Community College
Similar Profiles
Deborah BattleDeborah Battle
Insurance Verification Specialist at Henry Ford Health System (DBA Henry Ford Health)Insurance Verification Specialist at Henry Ford Health System (DBA Henry Ford Health)
Amanda HinkleAmanda Hinkle
Registered Nurse, Radiology Mammography at Henry Ford Health SystemRegistered Nurse, Radiology Mammography at Henry Ford Health System
Emily BieberEmily Bieber
Registered Nurse at Henry Ford Health SystemRegistered Nurse at Henry Ford Health System