Susan Choquette
Authorization Specialist
Torrington
Summary
Dynamic Authorization Specialist with extensive experience at Advanced Medical Imaging, adept at optimizing workflow processes and enhancing departmental efficiency. Proficient in medical terminology and insurance verification, I excel in effective communication and problem-solving, ensuring accurate prior authorization requests and seamless interdepartmental collaboration. Committed to maintaining HIPAA compliance and delivering exceptional patient service.
Overview
33
33
years of professional experience
Work History
Authorization Specialist
Advanced Medical Imaging
06.2019 - Current
- Assisted in training new team members on company policies and procedures for handling authorization requests.
- Enhanced departmental efficiency with thorough knowledge of insurance guidelines and medical terminology.
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
Patient Registration Representative
UCONN Health Center
03.2019 - 12.2019
- Imaged and scanned patient and registration documentation into electronic patient records.
- Verified insurance coverage to confirm patient coverage for necessary medical services.
- Reduced wait times for patients by consistently processing registrations promptly and efficiently.
Radiology Receptionist
Bristol Hospital Multi-Specialty Group
04.2018 - 03.2019
- Accurately recorded patient demographics, histories, referral sources, insurances information into electronic health records system to ensure proper documentation.
- Managed the collection of copayments and outstanding balances from patients, ensuring timely financial transactions within the department.
- Facilitated efficient interdepartmental communication, resulting in smooth coordination between radiologists, technicians, and other medical staff members.
Medical Refund Specialist/Medical Claims Processor
Cigna
06.1992 - 03.2008
- Worked well in a team setting, providing support and guidance.
- Excellent communication skills, both verbal and written.
- Self-motivated, with a strong sense of personal responsibility.
- Paid attention to detail while completing assignments.
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Paid or denied medical claims based upon established claims processing criteria.
- Evaluated medical claims for accuracy and completeness and researched missing data.
Skills
Medical terminology expertise
Data entry proficiency
Insurance verification
Prior authorization processing
HIPAA compliance
Claims management
Effective communication skills
Microsoft office
Documentation and paperwork
Data entry
Verbal communication
Appointment scheduling
Telephone etiquette
Timeline
Authorization Specialist
Advanced Medical Imaging
06.2019 - Current
Patient Registration Representative
UCONN Health Center
03.2019 - 12.2019
Radiology Receptionist
Bristol Hospital Multi-Specialty Group
04.2018 - 03.2019
Medical Refund Specialist/Medical Claims Processor
Cigna
06.1992 - 03.2008
Similar Profiles
Janeth VivancoJaneth Vivanco
Mammography Technologist at Advanced Medical ImagingMammography Technologist at Advanced Medical Imaging
Chantell EamesChantell Eames
Radiology Technologist at Advanced Medical ImagingRadiology Technologist at Advanced Medical Imaging
Monica CortezMonica Cortez
Radiology Scheduler at Advanced Medical ImagingRadiology Scheduler at Advanced Medical Imaging
Riley StorrsRiley Storrs
Retail Associate at Goodwill IndustriesRetail Associate at Goodwill Industries
Robert JonesRobert Jones
Public Safety Manager at Hartford HealthCarePublic Safety Manager at Hartford HealthCare