Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tina Houser

Foley,Alabama

Summary

Dynamic professional with a proven track record at Athenahealth, excelling in client support and cross-functional teamwork. Skilled in utilizing Salesforce for issue management, I drive process improvements and enhance client sentiment. Recognized for strong organizational abilities and effective problem-solving, I foster collaboration and ensure compliance in complex environments.

Overview

19
19
years of professional experience

Work History

Associate, Revenue Cycle & Escalation Mgmt

Athenahealth
09.2011 - Current
  • Partner directly with internal and external stakeholders to provide support and drive improvements in client issue management using our single point of entry issue management system within Salesforce.
  • Support our internal operational teams by adhering to the standardized issue reporting process governed by athenaNation’s single source of truth.
  • Ensure the right types of information are being used to enable analysis of issues so actionable insights can be gleaned.
  • Work with peers and partner teams to influence the service roadmap by providing comprehensive business cases
  • Pursue opportunities to reduce case inflow and improve client sentiment by: creating training and/or communication materials; suggesting workflow and quality improvements to the proper teams; or otherwise driving fellowship with client-facing teams and clients.

Senior, Prior Authorization Specialist

AthenaHealth
09.2011 - Current
  • 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.
  • Ensure compliance with company policies, specifically patient confidentiality (HIPAA) in all Mainstay Medical practices.
  • Gather required/additional supporting documentation and information, including state protocols, physician or hospital medical records, state or federal statutes, patient, or physician letters of medical necessity, etc.
  • Understand and work on complex issues where analysis of situations requires an in-depth evaluation of variable factors.

Pre-Registration Team Leader

Proxsys, LLC
06.2006 - Current
  • Set performance expectations for the team, monitoring progress towards goals and providing constructive feedback as needed.
  • Managed conflict resolution among team members, fostering a positive and collaborative work environment.
  • Collaborate with leadership to identify process gaps and lead improvements.
  • Maintain performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
  • Recruitment and training of providers for the utilization of the Proxsys System for prior authorizations, insurance verification, pre-registration and collections.

Education

Education

University of Montevallo
Montevallo
05-1995

Associate of Science - Education

Jefferson State Community College
Birmingham, AL
05-1992

Skills

  • Strong organizational abilities
  • Experienced in software utilization
  • Problem-solving skills
  • Clear interpersonal communication
  • Proficient in multitasking priorities
  • Client support
  • Problem-solving
  • Cross-functional teamwork
  • Proficient in managing disputes

Timeline

Associate, Revenue Cycle & Escalation Mgmt

Athenahealth
09.2011 - Current

Senior, Prior Authorization Specialist

AthenaHealth
09.2011 - Current

Pre-Registration Team Leader

Proxsys, LLC
06.2006 - Current

Education

University of Montevallo

Associate of Science - Education

Jefferson State Community College

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Tina Houser