Spearheads a team of 6 employees responsible for prior authorizations for the clinic's 18 surgeons and multiple midlevel providers. Tracks the ever-changing medical necessity guidelines across insurance companies to ensure clinical documentation satisfies current insurance requirements. Liases with upper management, surgeons, and all other departments and staff across the clinic as needed.Streamlined policies to establish a universal framework to follow when encountering uncommon scenarios, thereby increasing consistency and reducing guesswork across departments. Doubled the department's scope of work to include authorizations for pain management procedures and advanced imaging; developed and implemented the processes needed to support such an expansion; and standardized internal forms and practices relating to authorizations.

Coordinate patients' benefits and precertification requirements through numerous health insurance companies. Pre-certify orthopedic surgeries and other procedures for 15+ surgeons in the clinic. Keep record of current contractually allowed fees for each service based on the insurance carrier, and use these amounts to calculate patient responsibility based on their current benefit structure and accumulations. Communicate prior authorization information with the associated hospital or facility for each surgery.

Within a management training program, increased new customer acquisition for a Fortune 500 company via direct marketing, following up as a personal account representative. Aided in interviewing prospective employees as well as managed a small team of individuals, including training entry-level and team lead positions on our product and systems. Regularly organized and ran in-office meetings and seminars.

Implemented and maintained Meridium as new data storage software. Oversaw record conversion and data transfer between non-compatible softwares. Created inspection routines for all equipment to enhance consistency with reporting and improved the record conversion and data setup system to reduce project’s expected completion time by half. Trained employees to use Meridium effectively. Gained SAP experience by maintaining and transmitting departmental costs, including creation and monitoring of purchase orders; also responsible for assessing and coordinating departmental needs.

Acted as manager-on-duty in a fast-paced environment, running shifts and ensuring employees stayed on task. Responsible for redesign of employee training system for our location; oversaw all training of new employees within the new system. Managed all operating cash registers with a proven ability to count drawers before and after each shift; organized safe counts, deposits, and daily store records.

Completed assignments for employees and clients in the building involving duplicating and filing drawings, subcontracts, invoices, etc. Utilized and maintained various office machines throughout the building. Trained in sorting and delivering mail and packages and organizing outgoing correspondence. Experienced in working the receptionist’s front desk and switchboard, booking conference rooms, and assisting visitors.