SUSAN MCKEAN STAUDER
Northumberland,PA
Summary
To obtain a position in a dynamic company that allows me to utilize my professional experience to help with the company growth.
Experienced with managing complex authorization processes, ensuring compliance and efficiency. Utilizes strong problem-solving abilities to streamline workflows and enhance patient satisfaction. Knowledge of industry standards and team collaboration drives successful authorization management.
Overview
27
27
years of professional experience
Work History
Authorization Specialist
Evangelical Community Hospital
01.2019 - Current
- Reviewing providers orders, associated with codes and medical record documentation for medical necessity and appropriateness of assigned codes, to ensure proper authorization and reimbursement
- Obtains authorizations from insurance companies for facility based services, verifies authorizations obtained by other ordering providers and documents the authorizations prior to scheduling
- Ensures compliance with CMS approved coding guidelines
- Customer service, patient and interoffice interactions
Authorization specialist
SUN ORTHOPAEDICS OF EVANGELICAL
01.2006 - 01.2019
- Tasked with obtaining Authorization for Medical Surgeries, High Tech Imaging, Medications, DME, Injectable Medications, Customer Service, patient interactions, among other inter office functions
HEALTHCARE MANAGEMENT GROUP
01.2004 - 01.2006
- Tasked with posting Medical Charges for Various Doctors Offices
SCOTT’S FLORAL
01.1998 - 01.2004
- Helped with instore sales, customer service, Floral arrangements, and Deliveries
Education
American College for the Applied Arts
Los Angeles, CA01.1992
High School Diploma - General studies
Lewisburg Area High School
Lewisburg, PA06-1987
Skills
- Medical terminology expertise
- Claims management
- Insurance verification
- Data entry proficiency
- HIPAA compliance
- Prior authorization processing
- Medical coding
- Documentation and paperwork
- Effective communication skills
Timeline
Authorization Specialist
Evangelical Community Hospital
01.2019 - Current
Authorization specialist
SUN ORTHOPAEDICS OF EVANGELICAL
01.2006 - 01.2019
HEALTHCARE MANAGEMENT GROUP
01.2004 - 01.2006
SCOTT’S FLORAL
01.1998 - 01.2004
American College for the Applied Arts
High School Diploma - General studies
Lewisburg Area High School
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