Verna Middleton
Kannapolis,NC
Summary
Organized Procedure Scheduler known for productivity and efficient task completion. Skilled in patient coordination, medical billing software, and regulatory compliance. Excel in communication, problem-solving, and adaptability to ensure seamless scheduling processes and positive patient experiences.
Overview
14
14
years of professional experience
2010
2010
years of post-secondary education
Work History
Procedure Scheduler/Prior Authorization Specialist
Novant Health Brain and Spine
Charlotte, NC
09.2024 - Current
- Process high volumes of prior authorization requests weekly, ensuring compliance with payer requirements.
• Coordinate scheduling for patient procedures, balancing provider availability and insurance approvals.
• Achieve consistent approval rates on first‑submission prior authorization requests, minimizing delays in patient care.
• Reduce turnaround time for approvals through proactive communication with providers and insurers.
• Maintain HIPAA compliance with accurate documentation in EMR systems. - Monitored and resolved scheduling conflicts to minimize disruptions in patient care.
Insurance Verification/Authorization Specialist
Summit Health/Village MD Neuroscience
Florham Park, NJ
06.2021 - 06.2024
- Reviewed authorization requests for accuracy and completeness prior to submission to payers.
- Maintained detailed records of authorization processes to ensure compliance with regulations.
- Collaborated with healthcare providers to clarify authorization requirements and facilitate timely approvals.
- Resolved patient and provider issues related to authorization delays through proactive engagement.
- Demonstrated adaptability in managing multiple authorization requests simultaneously under pressure.
Chiropractic Assistant receptionist
Family Chiropractic Clinic of Hillsborough
Hillsborough, New Jersey
01.2012 - 03.2020
- Assisted patients with completing intake forms and gathering necessary medical history for accurate record keeping.
- Maintained inventory of office supplies and therapeutic equipment to ensure clinic operations ran smoothly.
- Coordinated follow-up appointments for patients, enhancing continuity of care and treatment adherence.
Education
Lincoln Technical Institute
Edison, NJ 06.2008 - 09.2008
Piscataway High School
Piscataway, NJSkills
- Prior authorization processing (medical, pharmacy, behavioral health)
Insurance verification & benefits coordination
CPT, ICD‑10, HCPCS coding knowledge
EMR/EHR systems (Epic, Cerner, Meditech)
HIPAA compliance & confidentiality
Patient advocacy & provider communication
Scheduling & front desk operations
Workflow optimization & time management
Timeline
Procedure Scheduler/Prior Authorization Specialist
Novant Health Brain and Spine
09.2024 - Current
Insurance Verification/Authorization Specialist
Summit Health/Village MD Neuroscience
06.2021 - 06.2024
Chiropractic Assistant receptionist
Family Chiropractic Clinic of Hillsborough
01.2012 - 03.2020
Lincoln Technical Institute
06.2008 - 09.2008
Piscataway High School