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Sales Manager Prior Authorization

Location:
Kaufman, TX, 75142
Posted:
April 11, 2024

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Resume:

Holly Watson

Kaufman, TX *****817-***-**** • *****************@*****.*** • WWW: Bold Profile

Professional Summary

Focused Sales Manager committed to motivating others and offering extensive knowledge penetrating new territories and promoting product lines. Highly effective mentor driven to assess individual and group performance to implement improvements and set goals. Determined individual with background in establishing and nurturing lucrative partnerships.

Skills

Business growth and retention

Client Relationship Building

Sales Forecasting

Accounts receivable management

Claim submission

Follow-up skills

Patient confidentiality

Organizational abilities

Critical Thinking

Account Servicing

Account development

Customer-Oriented

Work History

Merchant One - 3 yrs 0 mos

Sales Account Manager - Ft. Worth, TX

03/2021 to Current

Increased sales revenue by identifying and pursuing new business opportunities.

Developed and maintained long-term relationships with key clients for sustained growth.

Achieved higher client satisfaction ratings through consistent communication and problem resolution.

Implemented effective sales strategies to expand market share within assigned territory.

Av-Dec - 3 yrs 1 mo

Billing Specialist - Ft. Worth, TX

02/2018 to 03/2021

Improved billing accuracy by implementing streamlined invoicing process.

Enhanced customer satisfaction with timely and accurate invoice generation.

Reduced errors in financial records by conducting regular audits of billed accounts.

Collaborated with collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.

Maximized revenue potential by identifying and resolving under-billed accounts.

Strengthened client relationships through effective communication regarding billing issues and concerns.

APM Medical Supplies - 4 yrs 2 mos

Prior Authorization Specialist - Dallas, TX

06/2013 to 08/2017

Streamlined prior authorization processes by implementing efficient tracking systems.

Improved patient satisfaction with timely and accurate processing of prior authorizations for medications and procedures.

Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.

Enhanced communication between healthcare providers and insurance companies, ensuring prompt resolution of issues related to prior authorizations.

Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.

Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.

Contributed to high level of customer service by quickly addressing questions or concerns from patients regarding their coverage or denials.

ABC Medical Supply - 8 yrs 1 mo

Customer Care Representative - Dallas, TX

01/2004 to 02/2012

Collaborated with healthcare providers to ensure accurate and complete referral information, improving patient care coordination.

Managed high-volume referral requests by prioritizing tasks and maintaining organized records.

Assisted patients in navigating insurance requirements, facilitating approval of necessary treatments.

Maintained comprehensive knowledge of provider networks, ensuring appropriate specialist recommendations for patients.

Conducted regular audits of referral records to maintain compliance with industry regulations and company standards.

Promoted clear communication between primary care providers and specialists through detailed documentation and follow-up calls.

Identified opportunities for process improvements within referral department, leading to increased efficiency and accuracy.

Education

High School Diploma: 05/2003

Rylie Academy - Dallas, TX



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