Tammy Schultz
West Haven
Summary
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
16
16
years of professional experience
Work History
Authorization Specialist
Freedomcare
New Hyde Park, NY
01.2023 - 06.2026
- Processed authorization requests efficiently, ensuring adherence to compliance standards.
- Reviewed and analyzed patient information for accuracy and completeness.
- Coordinated with healthcare providers to obtain necessary documentation for authorizations.
- Resolved authorization issues through effective communication with clients and providers.
- Led initiatives to streamline processes, resulting in reduced errors and enhanced service delivery.
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
- 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.
- Demonstrated adaptability with changing insurance requirements, maintaining up-to-date knowledge through continuous education efforts.
- Developed strong relationships with insurance representatives to expedite approvals and resolve issues promptly.
- 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.
Customer Service Representative
Star Distributors
West Haven, CT
03.2021 - 12.2022
- Resolved customer inquiries through effective communication and problem-solving skills.
- Managed order processing and fulfillment using ERP systems to ensure timely deliveries.
- Trained new team members on customer service protocols and system navigation.
- Developed solutions for customer complaints, improving overall satisfaction ratings.
- Collaborated with sales teams to provide accurate product information and support upselling efforts.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Developed strong product knowledge to provide informed recommendations based on individual customer needs.
- Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
- Collaborated with team members to develop best practices for consistent customer service delivery.
- Improved resolution time with effective problem-solving for customer complaints.
- Boosted team morale by consistently recognizing colleagues' contributions and achievements.
Medical Receptionist
Cardiology Associates of Central CT
Wallingford, CT
08.2010 - 02.2021
- Greet patients as they arrive, check them into the practice and collect copays
- Answer all inbound calls on 10-line phone system
- Schedule appointments for eight practitioners
- Provide patients with follow up instructions, including lab work and testing as necessary
- Process and verify third party insurance information
- QES reporting
- Faxing, filing, copying, scanning and general office work
- Provides a high level of customer service and patient satisfaction
- Adheres to privacy policy (HIPAA)
- Medical Records
- Epic EMR
- Athenanet EMR
Education
High School Diploma Or GED -
West Haven High School
West HavenSkills
- Medical terminology expertise and ICD 10 Coding
- Insurance and Authorization verification
- Data entry proficiency
- HIPAA compliance
- Appointment scheduling
- Effective communication skills
- Proficiency in EMR, Epic, Athena, MyChart, Microsoft Office
- Verbal communication
- Confidentiality
- Document processing and Record keeping
- Teamwork and collaboration
- Customer service
Timeline
Authorization Specialist
Freedomcare
01.2023 - 06.2026
Customer Service Representative
Star Distributors
03.2021 - 12.2022
Medical Receptionist
Cardiology Associates of Central CT
08.2010 - 02.2021
High School Diploma Or GED -
West Haven High School