JackiLynn Beach
Brockport
Summary
Highly organized and detail-oriented administrative professional with over 10 years of experience in healthcare office management. Proven expertise in insurance policies, payer authorizations, and industry regulations with a strong focus on efficiency and patient satisfaction. Demonstrates excellent organizational, time-management skills, and proficiency in healthcare information systems and prior authorization software. Authorized to work in the US for any employer.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Administrative Assistant/Prior Authorization Specialist
Penn Highlands Lung Center Lung Innovations Network
2022.08 - Current
- Implemented process improvements that resulted in a 20% reduction in processing time for prior authorization requests, increasing overall efficiency and patient satisfaction
- Cultivated strong relationships with insurance company representatives, leading to an 8% increase in timely authorization approvals thereby improving patient care and reducing wait times
- Participated in relevant workshops, conferences, or training programs to enhance skills and stay informed about best practice
- Effectively managed a high volume of prior authorization requests, meeting or exceeding established productivity targets contributing to the department's operational goals.
Prior Authorization Specialist
Clearfield Jefferson Primary Care Associates
2011.08 - 2022.06
- Posted and adjusted payments for commercial, Medicare and Medicaid ensuring accurate and timely financial reconciliation
- Handled authorization denials and appeals confidently and adeptly, achieving a 15% success rate in overturning initial denials, which improved patient access to necessary treatments
- Examined patient's insurance coverage, deductibles, possible insurance carrier payments to provide accurate financial information, reducing billing errors by 10%
- Identified and resolved patient billing and payment issues promptly, enhancing patient satisfaction and reducing accounts receivable by 12%
- Responded to correspondence from insurance companies efficiently, maintaining a high standard of communication and ensuring swift resolution of queries.
Education
Academic -
Ridgway High School
Ridgway, PA06.1997
Skills
- Medical Office Experience
- Insurance Verification
- CPT Coding
- ICD-10
- Medical Terminology
- Medical Billing
- Computer skills
- Medical terminology
- CPT coding
- ICD-9
- EMR systems
- Medical records
- Organizational skills
- Microsoft Excel
- Microsoft Office
- Ophthalmology
- Healthcare Management
Certification
- Pennsylvania State Police Clearance, 05/01/2024, Present
- FBI Clearance, 10/01/2022, Present
- Pennsylvania Child Abuse Clearance, 05/01/2024, Present
Assessments
- Bookkeeping, Proficient, 07/01/2022, Calculating and determining the accuracy of financial data
- Scheduling, Proficient, 01/01/2022, Cross-referencing agendas and itineraries to avoid scheduling conflicts
- Customer focus & orientation, Proficient, 01/01/2022, Responding to customer situations with sensitivity
Timeline
Administrative Assistant/Prior Authorization Specialist
Penn Highlands Lung Center Lung Innovations Network
2022.08 - Current
Prior Authorization Specialist
Clearfield Jefferson Primary Care Associates
2011.08 - 2022.06
Academic -
Ridgway High School
- Pennsylvania State Police Clearance, 05/01/2024, Present
- FBI Clearance, 10/01/2022, Present
- Pennsylvania Child Abuse Clearance, 05/01/2024, Present
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