Customer Service and Prior Authorization Data Entry
Resume:
LORI BUCHHEIT
*******@*****.*** ***/***-**** www.linkedin.com/in/lori-buchheit
SUMMARY
Known for strong problem-solving skills and focusing on accurate resolutions with quality results. Adaptable, analytical and meticulous professional with strong customer solutions experience. Successful communications with industry professionals, clients and in-house representatives. Long time volunteer in community and philanthropic activities.
SKILLS AND EXPERTISE
Customer Service
Strong Work Ethics
Adaptability
Organization Influence
Conflict Resolution & Negotiation
Time Management
Team Leadership
Customer Relationship Management
Research
Data Analysis
Decision-Making
Collaboration
KEY CAREER ACCOMPLISHMENTS
Leadership & Team Development: Collaborated cross-functionally with clinicians and internal teams to obtain missing clinicals and prescriptions, improving submission turnaround time.
Achieved Quality Control: Consistently achieved 98%+ call quality control scores while handling complex authorization and benefit verification cases.
Customer Service: Recognized with customer appreciation letters for resourceful problem-solving and exceptional service.
Quality Assurance & Process Improvement: Verified patient benefits through online portals and direct payer calls to ensure coverage accuracy and reduce authorization delays.
PROFESSIONAL EXPERIENCE
CORAM, INC, Eden Prairie, MN 2010 - 2025
Senior Prior Authorization Representative
Clinical documentation from working in a patient’s clinical medical record.
3+ years in the change order team submitting Prior Authorizations.
Achieved good customer relations in a demanding accounting environment.
Maintained above average client satisfaction, frequently solving customer complaints.
Kept abreast of changes in insurance policies, regulatory requirements and procedural guidelines to ensure compliance and effective processing of request.
EDUCATION
Bachelor of Arts (BA), Business
St. Paul, Minnesota
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