Terri Hall
Newton,NC
Summary
Proven track record in enhancing customer satisfaction and streamlining prior authorization processes, notably at Bowen Hefley Orthopedics. Skilled in insurance verification and customer service, demonstrating patience and empathy. Achieved a high success rate in obtaining authorizations, significantly reducing turnaround times. Organized professional knowledgeable in regulatory standards and compliance requirements. Confident Prior Authorization Specialist with a background spent working in medical offices, communicating effectively orally and through writing and developing prior authorization workflows. Hardworking Prior Authorization Specialist with successful background working closely with insurance company representatives to gain preapproval for procedures and testing. Detail-oriented performer with over years of managing documentation. Considered team player with exemplary multitasking skills. Detailed Prior Authorization Specialist committed to never letting vital requests or documents go unprocessed. Diligent tracker of patient outcomes and caretaker feedback. Incorporates empathetic communications with professional best practices to satisfy plan members and business goals alike. Hardworking Prior Authorization Specialist with successful background working closely with insurance company representatives to gain preapproval for procedures and testing. Detail-oriented performer with over 17 years of managing documentation. Considered team player with exemplary multitasking skills.
Overview
27
27
years of professional experience
Work History
Cashier
Hardee's Restaurant
Conover, NC
04.2024 - Current
- Greeted customers entering store and responded promptly to customer needs.
- Welcomed customers and helped determine their needs.
- Worked flexible schedule and extra shifts to meet business needs.
- Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
- Built relationships with customers to encourage repeat business.
- Maintained a balanced cash drawer, ensuring accurate accounting at the end of each shift.
- Helped customers complete purchases, locate items, and join reward programs.
- Restocked and organized merchandise in front lanes.
- Assisted customers with returns, refunds and resolving transaction issues.
- Counted money in cash drawers at beginning and end of shifts to maintain accuracy.
Prior Authorization Specialist
Bowen Hefley Orthopedics
Little Rock, AR
08.2007 - 01.2024
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Verified eligibility and compliance with authorization requirements for service providers.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.
Patient Care Nursing Assistant
Baptist Health Medical
Little Rock, AR
01.1997 - 08.2007
- Assisted patients with activities of daily living, promoting independence and comfort during their stay.
- Delivered high-quality personal care to patients, including bathing, grooming, dressing, toileting, feeding, and mobility assistance.
- Supported nursing staff by accurately obtaining and recording vital signs, promptly notifying nurses of any abnormal results.
- Maintained a safe and clean environment for patients by adhering to strict infection control protocols and regular room sanitization procedures.
- Facilitated patient transfers, positioning, and mobility using proper body mechanics to prevent injury and ensure comfort.
- Demonstrated adaptability in rapidly changing situations, responding promptly to unforeseen patient needs or requests from the nursing staff.
- Communicated and documented pertinent observations and information to maintain complete and accurate record of care given to patient.
- Enhanced patient satisfaction by providing compassionate and attentive care to patients in various stages of recovery.
Education
High School Diploma -
Des Arc High School
Des Arc, AR05.1988
Skills
- Customer Service
- Customer Assistance
- Work Ethic and Integrity
- Patience and Empathy
- Prior Authorization Process
- ICD-10 Coding Familiarity
- Medical Terminology
- Medical Appeals Handling
- Insurance Verification
- Authorizations
- Effective communication skills
Reading, Working Outdoors and Walking
My favorite way to unwind after a long day is to take my dog, Missy for a walk around the neighborhood. Since I just moved to North Carolina from Arkansas to be close to my family, it has turned to a perfect way to meet my new neighbors. I spend at least one day a week working in the yard. This really does help to get my mind off things that are going on in the world around me. Finally, I love to read. I read all genre of authors but I do have to say that Stephen King is my favorite. I would love to meet him someday and try to figure out how his mind works in order to learn how he writes the novels that he produces year after year.
Timeline
Cashier
Hardee's Restaurant
04.2024 - Current
Prior Authorization Specialist
Bowen Hefley Orthopedics
08.2007 - 01.2024
Patient Care Nursing Assistant
Baptist Health Medical
01.1997 - 08.2007
High School Diploma -
Des Arc High School