Dynamic Precertification Specialist with a proven track record at Urology Associates of Delaware, excelling in prior authorization and insurance verification. Demonstrates strong communication skills and adherence to HIPAA compliance, enhancing patient experience and operational efficiency. Recognized for streamlining processes and ensuring patient confidentiality in a fast-paced healthcare environment.
Overview
10
10
years of professional experience
Work History
Precertification Specialist
Urology Associates Of Delaware
Dover, DE
07.2021 - Current
Obtain prior authorization for Procedures
Obtain prior authorizations for radiology
Prep charts for all out of office procedures
Scan all documentation from insurance company
Check and return voicemails for myself and procedure scheduling
Call and inform patient of status on approvals or denials
Front Desk Supervisor
First State Animal Center and SPCA
Camden, DE
09.2020 - 07.2021
Trained new employees on front desk operations, ensuring they were well-prepared for their roles and responsibilities.
Trained new staff on correct procedures, compliance requirements, and performance strategies.
Provided exceptional customer service, leading to positive online reviews and repeat business from satisfied guests.
Communicated regularly with management on front desk performance, identifying areas for improvement or growth opportunities.
Collected room deposits, fees, and payments.
Streamlined check-in and check-out processes for improved guest experience and reduced waiting times.
Greeted visitors and customers upon arrival, offered assistance, and answered questions to build rapport and retention.
Front Desk Receptionist
Delaware Foot & Ankle
Bear, DE
12.2019 - 09.2020
Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
Maintained organized and clean front office area to create professional and welcoming environment for visitors and employees.
Scheduled, coordinated and confirmed appointments and meetings.
Delivered outstanding first impressions by warmly greeting visitors upon arrival at the front desk.
Managed high-volume phone calls, directing inquiries to appropriate personnel for prompt resolution.
Collected Co-payments.
Administrative Assistant
Fletcher Plumbing Heating and Air
Smyrna, DE
03.2017 - 10.2019
Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
Promoted a positive work environment through effective communication skills and fostering professional relationships among colleagues.
Improved document organization with thorough file maintenance, archiving outdated records as necessary for efficient retrieval when needed.
Scheduled services
Medical Records Specialist
First State Orthopedics
Dover, DE
01.2016 - 04.2017
Communicated effectively with staff, patients, and insurance companies by email and telephone.
Coordinated responses to subpoenas and other legal requests for medical records, working closely with legal counsel as necessary to protect patient privacy rights.
Processed medical records requests from outside providers according to facility, state, and federal law.
Uploaded physician progress notes, history, and physicals into electronic medical records.
Teller
PNC Bank
Middletown, DE
03.2015 - 01.2016
Balanced cash drawer daily and resolved discrepancies to provide accurate data regarding cash flow.
Disbursed cash and checks accurately while maintaining security of cash drawers.
Balanced cash drawers daily, identifying discrepancies and taking corrective actions as needed.