Authorization Specialist Access Rep

Nancy P. Pisarski

Garden City, MI ***** • adui3v@r.postjobfree.com• 734-***-****

Office Administrator

Professional office administrator with over 30 years’ experience directing all aspects of office operations.

•Proven results in creating positive office environments through developing staff, improving procedures, and supporting customers.

•Strong communication and relationship building skills utilized to resolve customer service issues, train and mentor staff, and collaborate with leadership.

•Working knowledge of medical terminology, CMS Prior Authorizations and clinic procedures, including transcription and documentation in alignment with industry regulations.

•Strengths in strategic planning, process improvement, and data analysis.

Professional Experience

Metro Transport Group – Knoxville, Tennessee

Accounting Department-Freight Billing Specialist, June 2022-November 2022 (Contract)

Expedite and Truckload

Sending invoices and account updates to clients.

Kept an accurate record of client accounts and outstanding balances.

Received, sort, and track incoming payments.

Validate debit accounts to ensure the credibility of payments.

Issued receipts for received payments.

Provided regular, accurate reports of billing data.

Sylectus and Alliance software

E5 Workflow – Sydney, Australia,

Prior Authorization Specialist, July 2020-November 2020

Pre-Authorization requests to payors, Managed Care (CMS). Interacts with clients, insurance companies, patients, and sales representatives as necessary to request prior authorizations. Responsible for updating account activity, updating patient and claim information and demonstrating proficiencies with the billing system to ensure all functionalities are utilized for the most efficient processing of claims. Documents eligibility, benefit and authorization information in accordance with established guidelines.

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Nancy P. Pisarski … Page 2

Detroit Medical Center – Detroit, MI

Patient Access Rep ll, September 2019 to July 2020

Patient registration, verify current demographics, obtain referrals, insurance verification and pre-authorization approvals for CMS for Physical Medicine and Rehabilitation in the Fluoroscopy Suite. CPT, ICD-CM, HCPCS LEVEL ll coding for Radiology.

Reliable Drug and Alcohol Inc. - Romulus, MI

Collector, April 2019 to August 2019

NON DOT/DOT drug and alcohol tester. Notifying flight crew members of selective process and random drug and alcohol screening based on federal guidelines mandated by the FAA and Department of Transportation. Urinalysis testing for the five panel THC, PCP, COC, OP, AMP respectively. In addition to (BAC) from a breath sample provided by standardized breathalyzer testing.

Audrey Bruell, MD, PC – Livonia, MI

Clinical Coordinator, May 2003 to December 2018

Managed office operations for a busy dermatologist practice, including office opening and closing, patient documentation, policies, procedures, staffing schedules, and infection control. Pre-Authorization for surgical procedures in CMS, private insurance companies, Evicore and Availity portals. Scheduling patient appointments, and insurance verification. Gather and document patient medical history and physician summary/diagnosis. Assist physician with non-invasive and surgery procedures. Authorize prescription refills and relay information to pharmacy. Respond to patient questions and resolve customer services issues. Direct quality control and train staff on infection control techniques in compliance with MIOSHA regulations.

Additional Relevant Experience:

Landstar Logistics, INC – Northville, MI

Director of Customer Service, September 1996 to January 2001

Oversaw shipping operations and customer relations for a national transportation service. Responded to customer inquiries, resolved issues, and communicated delivery changes/expectations to customers and

Supervisors. Managed shipments to achieve on-time shipment promise to customers by categorizing cargo by receipt location and scheduling with appropriate carrier. Ensured precise placement on trucks through estimating weights, heights, and centers of balance. Hired and trained shipping employees. Identified process improvement opportunities. Maintained ISO 9000 and 9002 certifications for quality systems.

Selected Contribution: Improved compliance with industry standards, resulting in increased validation of shipping deliveries by 30%.

Advanced Dermatology – Plymouth, MI

Office Manager/Regional Manager, June 1989 to August 1996

Directed office operations and supervised staff for a regional dermatology clinic. Executed tactical plans to achieve company objectives and monthly clinic goals. Collaborated with billing department and management to increase revenue through accurate patient documentation for billing. Facilitated staff meetings to celebrate accomplishments, communicate policy and procedure changes, and gather feedback. Selected Contribution:

•Increased employee loyalty and reduced turnover by implementing innovative employee engagement programs.

Education

Certified Medical Office Assistant

Career Center, Livonia, MI 1981-1983

Studies in Healthcare Administration

Oakland Community College, Royal Oak, MI 1984-1986

Studies in Business Administration / Accounting

Schoolcraft College, Livonia, MI 1990-1992

EMR EMA Training & Development, Modernizing Medicine

Livonia, MI 2017-2018

Studies in Outpatient Medical Coding

AAPC Outpatient Coding, Member 2020

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