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Authorization Specialist Support LPN

Location:
Toledo, OH
Salary:
$28 hour
Posted:
November 28, 2022

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Resume:

Beth Stolar

***** ********** *****

419-***-****, adtqxy@r.postjobfree.com

OBJECTIVE Seeking a position to advance my career using the skills already achieved that can help benefit the organization obtain its goals.

SKILLS I have over twenty-year’s comprehensive experience in the medical and administrative field, including 12 years as an LPN who also has 30 + years of Customer Service experience.

• Proficient in Word, Excel, Outlook, PowerPoint

• Experienced in office administration, management, health care compliance programs, and health policy reviews.

• Graduated top of my class and a member of the national nursing honor society

• Good communication, interpersonal skills, organizational skills, and ability to multitask EXPERIENCE LPN/ University of Toledo/UT Physicians – October 2021 to Current

• Assist with developing workflows for team members

• Rooming of patients, notification of all lab and tests results as given by the MD.

• Schedule appointments, process Prior Authoizatons, and organize the workflow of 3 Providers that I am assigned to.

• Assist and train team members to resolve complex issues

• Assist and complete all orders and requests by physicians within 30 days per policy and procedure and track all documentation, while working in assistance with the Clinical team.

• Maintain working relationships with other departmental work families and the cooperation and team effort to adhere to all policies.

• Resolve all client or team member grievances with the most positive and timely outcome.

LPN Charge Nurse/ProMedica Goerlich Center – June 2021 to October 2021

• Assist with developing workflows for team members

• Responsible for Alzheimer/Dementia unit of 24 patients, medication, treatments, head to toe assessments, coordinating orders for labs, testing, etc.

• Assist and train team members to resolve complex issues

• Complete all requests for medical information and records in a timely matter.

• Assist and complete all orders and requests by physicians within 30 days per policy and procedure and track all documentation, while working in assistance with the Clinical team.

• Maintain working relationships with other departmental work families and the cooperation and team effort to adhere to all policies.

• Resolve all client or team member grievances with the most positive and timely outcome.

Field Support Specialist/ LPN Maxim Healthcare –March 2015 – October 2020

• Assist with developing workflows for team members

• Assist and train team members to resolve complex issues

• Train and conduct orientation for all new employees.

• Authorization Specialist, overseeing all authorizations for over a hundred plus cases and dealing with all quality control issues regarding any issues.

• In charge of all zero billing and trouble- shooting the why and how to fix any billing errors working with the Corporate billing team for our branch.

• Complete all requests for medical information and records in a timely matter.

• Assist and complete all orders and requests by physicians within 30 days per policy and procedure and track all documentation, while working in assistance with the Clinical team.

• Oversee and run a report on all zero bills, resolving any issues while diminishing and analyzing any potential discrepancy in any area of reimbursement.

• Orientation of all candidates and training of expected company policy and adherence.

• Maintain working relationships with other departmental work families and the cooperation and team effort to adhere to all policies.

• Resolve all client or team member grievances with the most positive and timely outcome.

• Interview, assess and make sure all candidates are properly qualified, including 90 day reviews and administering TB tests and reading results.

• Assist my Supervisor with meetings, team members, or anywhere needed, required or expected to meet all standards of Federal and State laws.

• Completely revised the entire system of filing and organized it in it a user friendly manner for any audits.

EDUCATION Stauzenberger College, Maumee, OH

LPN, December 2011



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