Wendy Hyman
Scranton,SC
Summary
Detail-oriented Surgery Scheduler and Authorization Support Specialist with 30 years of experience managing high-volume information, reviewing documentation, and ensuring timely and accurate authorization workflows. Skilled in organization, data accuracy, communication, and workflow management. Known for reliability, fast learning, and maintaining confidentiality in all work.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Surgery Scheduler/Prior Authorization Specialist
Florence Neurosurgery and Spine at McLeod Health
08.2022 - Current
- Coordinated with medical staff to confirm surgery details and ensure resource availability.
- Scheduled surgical procedures utilizing electronic health record systems to optimize patient flow.
- Verified insurance coverage and obtained pre-authorizations.
- Managed patient communications, providing instructions and answering questions regarding pre-operative procedures.
Physician Office Billing Specialist
Williamsburg Regional Hospital
03.2019 - 08.2022
- Managed billing processes, ensuring accurate and timely submission of claims.
- Reviewed patient accounts, insurance eligibility, and authorization requirements.
- Corrected billing discrepancies and resolved denials in a high-volume environment.
- Communicated with patients, providers, and insurance representatives regarding account status.
- Maintained confidential patient information in accordance with HIPAA regulations.
Patient Account Representative
McLeod Regional Medical Center
04.2011 - 03.2019
- Managed patient account inquiries and resolved billing issues efficiently.
- Processed payments, posted transactions, and maintained accurate account records.
- Verified insurance coverage and explained benefits to patients.
- Assisted patients with account questions, payment plans, and insurance authorizations.
- Maintained HIPAA compliance and handled sensitive patient information with confidentiality.
Claims Associate III
Tricare, PGBA
10.1995 - 04.2011
- Performed data entry and claims processing, ensuring accuracy for payments.
- Corrected errors on claims and maintained compliance with insurance procedures.
- Handled customer service calls and assisted with claims inquiries.
- Applied de-escalation skills to resolve issues with irate customers efficiently.
Education
High School Diploma -
Lake City High School
Lake City, SC01.1995
Skills
- Authorization & Eligibility Processing
- Document Review & Verification
- Accuracy & Quality Assurance
- EMR/EHR Systems (if applicable)
- Confidential Information Handling (HIPAA-aligned)
Certification
Certified Medical Assistant, 2024
Timeline
Surgery Scheduler/Prior Authorization Specialist
Florence Neurosurgery and Spine at McLeod Health
08.2022 - Current
Physician Office Billing Specialist
Williamsburg Regional Hospital
03.2019 - 08.2022
Patient Account Representative
McLeod Regional Medical Center
04.2011 - 03.2019
Claims Associate III
Tricare, PGBA
10.1995 - 04.2011
High School Diploma -
Lake City High School