TRACEY CUTTER
Lincoln Park
Summary
Dedicated Authorization Specialist with over 10 years of experience in major health systems across Michigan. Expertise in navigating payer portals and electronic health records to efficiently secure critical approvals. Proven ability to streamline authorization processes, enhance operational efficiency, and improve patient outcomes through effective communication and collaboration with healthcare teams. Committed to maintaining the highest standards of accuracy and compliance.
Overview
13
13
years of professional experience
Work History
Authorization Specialist
McLaren/Karmanos Health
Remote, MI
02.2023 - Current
- Streamlined prior authorization procedures for outpatient radiology testing, enhancing operational efficiency and patient care.
- Coordinated efforts between healthcare providers and insurance entities to secure essential high-priority approvals efficiently.
- Reviewed and finalized clinical documentation to ensure compliance with medical necessity standards.
Authorization Specialist
CoreWell Health Systems
Southfield, MI
11.2018 - 02.2023
- Processed and verified insurance authorization requests for various outpatient services.
- Collaborated with healthcare providers to ensure compliance with payer requirements.
- Coordinated insurance authorizations, ensuring timely approvals for patient services across multiple providers.
DME Specialist/Mastectomy/Bracer
Beaumont Health Systems
Madison Heights, MI
04.2016 - 10.2018
- Assisted in verifying insurance eligibility and benefits. Processed orders efficiently. Obtained prior authorization for durable medical equipment.
- Provided personalized fitting services for mastectomy prostheses and braces to enhance patient well-being and confidence.
- Established durable medical equipment (DME) arrangements prior to patient discharge from hospital.
Customer Service/Respiratory Specialist
Oakwood Home Medical Equipment
Allen Park, MI
04.2014 - 03.2016
- Conducted thorough verification of insurance eligibility and benefits to support efficient claims processing.
- Coordinated with healthcare providers to obtain necessary prior authorizations for DME and bracing equipment.
Receptionist/Referral Coordinator
Pain & Spine Centers of Florida
Leesburg, FL
08.2013 - 03.2014
- Reviewed and interpreted insurance policies to verify coverage and eligibility for designated procedures.
- Coordinated appointment schedules, optimizing time management for staff and clients.
Education
Psychology
Lake Sumter State College
Leesburg, FLundefined
Annapolis High School
Dearborn Heights, MI01-2005
Skills
- EPIC
- Cerner
- Detail Oriented
- Time Management
- Patient Advocate
- Prior authorization process
- Insurance verification
- Strong communication skills
Timeline
Authorization Specialist
McLaren/Karmanos Health
02.2023 - Current
Authorization Specialist
CoreWell Health Systems
11.2018 - 02.2023
DME Specialist/Mastectomy/Bracer
Beaumont Health Systems
04.2016 - 10.2018
Customer Service/Respiratory Specialist
Oakwood Home Medical Equipment
04.2014 - 03.2016
Receptionist/Referral Coordinator
Pain & Spine Centers of Florida
08.2013 - 03.2014
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Annapolis High School
Psychology
Lake Sumter State College