Taylor Angelo
Gorham ,ME
Summary
Experienced with navigating healthcare insurance systems to secure treatment approvals. Utilizes keen attention to detail and extensive knowledge of medical coding to streamline processes. Strong understanding of insurance guidelines and patient advocacy to ensure optimal outcomes.
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Professional in healthcare administration with strong background in managing authorization processes. Adept at ensuring compliance, streamlining workflows, and mitigating risks. Consistent track record of fostering team collaboration and achieving results in dynamic environments. Skilled in navigating complex systems, prioritizing tasks, and maintaining high standards of accuracy and efficiency.
Healthcare professional prepared for role with strong background in managing prior authorizations and fostering positive relationships with healthcare providers and insurance companies. Known for collaborative approach and consistently achieving results despite changing needs. Proficient in medical coding, insurance guidelines, and effective communication.
Overview
12
12
years of professional experience
Work History
Prior Authorization Specialist
New England Life Care
04.2018 - Current
- Streamlined prior authorization processes to improve efficiency and reduce turnaround times.
- Reviewed and analyzed insurance policies to ensure compliance with coverage requirements.
- Collaborated with healthcare providers to gather necessary documentation for authorization requests.
- Developed training materials to enhance team understanding of prior authorization workflows.
- Monitored and reported on authorization trends to identify areas for process improvement.
- Mentored junior staff on best practices for handling complex authorization cases.
Administrative Team Specialist
Maine Behavioral Healthcare
07.2017 - Current
- Scheduling clients with their psychiatric providers
- Managing clients medications and refilling them through the pharmacy as needed
- Keeping track of providers schedules
- Sorting through high volumes of voicemails daily and replying to them in a timely manner
- Filing paperwork in charts as needed
- Preparing the daily audit for all of my providers
Certified Nursing Assistant
Maine Medical Center
06.2014 - 07.2017
- Ambulating patients after surgery
- Helping patients with daily needs such as going to the bathroom, getting dressed, washing up
- Secretary work at the nursing station such as answering phone calls, responding to client call bells, bringing clients basic things such as water and ice, setting up rooms for new patients
- I worked on two different units over the course of three years at Maine Medical Center. I started out on R5 which is the Neurology unit. I was there for a year and a half to gain some skills and experience and then transferred to the Short Stay Unit where we received patients after minor surgeries.
Education
BS - Health Science
University of Southern Maine
Portland, ME05.2017
Skills
- Optimized scheduling and prioritization of tasks to enhance productivity
- Facilitated effective communication strategies to enhance team collaboration
- Assisted teams in achieving project goals through effective collaboration Supported project timelines by coordinating tasks among team members Contributed to problem-solving efforts to enhance team performance
- Demonstrated resilience and effectiveness in high-pressure environments
- Cultivated innovative ideas and solutions to enhance project outcomes
Timeline
Prior Authorization Specialist
New England Life Care
04.2018 - Current
Administrative Team Specialist
Maine Behavioral Healthcare
07.2017 - Current
Certified Nursing Assistant
Maine Medical Center
06.2014 - 07.2017
BS - Health Science
University of Southern Maine