Patient Service Prior Authorization
Resume:
Cherie Lynn Gold
***********@*****.***
SUMMARY
Experience working with medical insurance companies to secure optimal financial outcomes for patients and medical providers. Achieves maximum approval of authorization of claims. Builds empathetic relationships with patients using “patients first” values. Maintains patient confidentiality.
WORK EXPERIENCE
AYR Wellness, Streetsboro. OH August 2024 – Present
Team Lead
Mentor and assist other team members in completing their tasks
Counting cash drawers at two-hour intervals to verify accuracy of amounts
Prepare end-of-day reports of cash or debit transactions for point of service sales
Provide excellent customer service and support
Cleveland Clinic Foundation, Cleveland, Ohio March 2005 – June 2024
Patient Service Specialist
Verified insurance for outpatient diagnostic testing with patients’ individual insurance providers
Process prior authorization as required
Prepared Bureau of Workers Compensation (BWC) forms and follow up of BWC claims
Answered busy phones
University Hospitals of Cleveland, Cleveland, Ohio March 1995- March 2005
Patient Service Representative, Pain Management Department
Scheduled outpatient procedures
Answered busy phones, providing information and scheduling patient appointments
Obtained Precertification and Prior authorization with the individual insurance companies
EDUCATION
Lakeland Community College, Mentor, Ohio. Interpersonal Communications
Mayfield High School, Mayfield Heights, Ohio. Medical Terminology
Beachwood High School, Beachwood, Ohio. Graduated with a 3.1 GPA
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