Tabitha Thompson
Tampa,FL
Summary
Dynamic Authorization Specialist III at Centene with expertise in medical terminology and prior authorization processing. Proven track record of enhancing departmental efficiency and customer satisfaction through effective communication and problem-solving skills. Recognized for consistently exceeding productivity targets while maintaining high accuracy in claims processing and documentation.
Professional in healthcare industry, bringing valuable experience in authorization management and compliance. Known for delivering reliable and timely authorizations while maintaining robust communication with healthcare teams. Consistently focused on collaborative efforts and achieving results, ensuring organizational goals are met. Skilled in problem-solving and adaptable to changing requirements.
Overview
10
10
years of professional experience
Work History
Authorization Specialist III
Centene
08.2018 - 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.
- Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
- Assisted in training new team members on company policies and procedures for handling authorization requests.
- Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
- Prevented delays in care delivery by proactively identifying potential issues during the pre-authorization process and seeking clarification from providers when needed.
- Enhanced departmental efficiency with thorough knowledge of insurance guidelines and medical terminology.
- Promoted positive customer experiences by addressing concerns or questions related to authorizations in a professional manner.
- Prepare Error reports of findings of Authorization Errors for the Intake Teams.
Senior Customer Service Advocate
Kepro
03.2015 - 08.2018
- Enhanced customer satisfaction by promptly addressing concerns and providing effective solutions.
- Participated in ongoing training initiatives to maintain current knowledge of industry trends and best practices for superior service delivery.
- Reduced customer complaints through timely resolution of issues and proactive identification of potential problems.
- Delivered exceptional service by actively listening to customers and empathizing with their needs.
- Maintained current knowledge of company policies, products and marketing initiatives to better serve each customer.
- Leveraged strong problem-solving skills to address complex challenges faced by clients, ensuring swift resolution of issues whenever possible.
- Escalated issues to proper supervisors when standard processes were not effective.
- Delivered prompt service to prioritize customer needs.
- Exhibited high energy and professionalism when dealing with clients and staff.
- Met customer call guidelines for service levels, handle time and productivity.
Education
High School Diploma -
Cornerstone Christian Correspondence School
Townsend, GA05-2008
Skills
- Medical terminology expertise
- Claims Processing
- Insurance verification
- Documentation and paperwork
- Data entry proficiency
- Microsoft office
- Prior authorization processing
- Documentation and reporting
- Effective communication skills
- Application review
- Resource information
- Knowledgeable in Advanced proficiency in the following systems Microsoft Office, Outlook, Excel, Word, Windows XP/Vista 8, Omni Flow, SQL, State Portals
Timeline
Authorization Specialist III
Centene
08.2018 - Current
Senior Customer Service Advocate
Kepro
03.2015 - 08.2018
High School Diploma -
Cornerstone Christian Correspondence School
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