Teresa Settles

• 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.
• 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.
• 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.
• Improved patient satisfaction by streamlining authorization processes and ensuring timely responses to inquiries.
• Promoted positive customer experiences by addressing concerns or questions related to authorizations in a professional manner.
• Collaborated with healthcare providers to ensure accurate and comprehensive referral documentation.
• Worked with patients to schedule tests and procedures.
• Reduced appointment cancellations by proactively managing scheduling conflicts and rescheduling promptly when necessary.
• Verified patient insurance eligibility and entered patient information into system.
• Worked with patients to ascertain issues and make referrals to appropriate specialists.
• Applied administrative knowledge and courtesy to explain procedures and services to patients.
• Answered incoming calls, scheduled appointments and filed medical records.
• Processed payments using cash and credit cards, maintaining accurate records of transactions.
• Greeted and assisted patients with check-in procedures.
• Helped address client complaints through timely corrective actions and appropriate referrals.
• Engaged with patients to provide critical information.

Worked at Harrah's Casino until I relocated to Parker AZ.

• Handled high-pressure situations gracefully by staying focused on task at hand while remaining polite and professional towards guests.
• Streamlined dealer rotations during busy periods to minimize downtime between games without sacrificing quality service.
• Increased player satisfaction with engaging interpersonal skills and thorough knowledge of game rules.
• Worked closely with pit bosses and surveillance teams to identify possible cheating attempts or collusion between players.
• Maintained game security by adhering to established protocols and monitoring for suspicious activity.
• Demonstrated proficiency in dealing multiple casino games such as blackjack, roulette, and poker variants.