Susan L. Kitzmiller
Fort Ashby,WV
Summary
Professional in healthcare industry with strong background in managing authorizations and ensuring compliance. Skilled in navigating complex systems, problem-solving, and maintaining accurate records. Known for effective collaboration, adaptability, and delivering results in fast-paced environments. Reliable team player with expertise in healthcare regulations, communication, and customer service.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Authorization Specialist
Hometown Family Healthcare / Patricia Sheetz, DNP, FNP-BC
06.2022 - Current
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Assisted in training new team members on company policies and procedures for handling authorization requests.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
- Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
- Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
- Developed strong relationships with insurance representatives to expedite approvals and resolve issues promptly.
Office Manager
Brieloff Foot Center/Cimaglia Foot Care
05.2011 - 06.2022
- Coordinate, research, write, edit, design and produce brochures targeting specific audiences and demographics
- Create, strategize and implement marketing goals
- Prepare integrated advertising for social media, website, radio, magazines and other print media
- Property management and licensing
- Supervise staff and serve as mediator
- Initiate, write and implement new policies for streamlining and cost-effective purposes
- Create employee handbook
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
- Managed vendor relationships, negotiating contracts for cost savings while maintaining high-quality services.
- Oversaw facility maintenance requests, coordinating with building management to address repairs or improvements efficiently.
Marketing • Sales • Communication — Clients
Self Employed
01.1999 - 01.2018
- Coldwell Banker
- Orioles Club
- Effie’s Frozen Treats
- The Classic Grill
- Polish Pines Restaurant
Co-owner • Office Manager
K & K Excavating
01.1999 - 01.2004
- Create and strategize marketing goals
- Generate sales
- Met with customers
- Produce job estimates
- Bookkeeping and create invoices
- Acquire permits and licenses
Education
Bachelor’s Degree - journalism and psychology
West Virginia University
Morgantown, WV05.2010
Associate Degree - Journalism
WVU Potomac State College
Keyser, WV05.2010
Skills
- Microsoft Word, Excel, and PowerPoint
- Communication skills
- Skilled writer
- Critical thinking skills
- Insurance verification
- HIPAA compliance
- Prior authorization processing
- Appointment scheduling
- Documentation and paperwork
- Telephone etiquette
- Benefits administration
- Public assistance programs
- Confidentiality
- Eligibility procedures
Certification
- OSHA 10 Construction-2020
- OSHA 30 Construction-2020
- Digital Marketing-2020
LEADERSHIP
- Value-based decisions
- Goals/results oriented
- Customer service focused
- Strong moderator
- Self-motivated
- Strong work ethic
- Inclusive communication style
- Team collaboration
- Best-practices strategy
- Values diversity
- Ability to lead at any level
Training
- APMA – 2015, 2016, 2018 Marketing and advertising seminars in New York
- Small Business Administration – 2008 QuickBooks Class I and II
- Las Vegas Bar & Nightclub Convention – 2005, 2007 Business/employee management, sales, and marketing strategies
- Jackson Hewitt Tax Preparers Class – 2001 In-depth understanding of business tax readiness
Timeline
Authorization Specialist
Hometown Family Healthcare / Patricia Sheetz, DNP, FNP-BC
06.2022 - Current
Office Manager
Brieloff Foot Center/Cimaglia Foot Care
05.2011 - 06.2022
Marketing • Sales • Communication — Clients
Self Employed
01.1999 - 01.2018
Co-owner • Office Manager
K & K Excavating
01.1999 - 01.2004
Bachelor’s Degree - journalism and psychology
West Virginia University
Associate Degree - Journalism
WVU Potomac State College
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