Open to opportunities

Ahrielle Christopher

@ahriellechristopher

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Authorization specialist focused on accurate hospice prior authorizations and payer-compliant documentation.

United States

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What I'm looking for

I’m looking for a role where I can own prior-authorization workflows end to end—accurate payer submissions, documentation review, and patient communication—with autonomy, precision-focused teamwork, and real opportunities to grow.

I’m a detail-oriented Authorization Specialist with a strong background in hospice and healthcare administration, built on accuracy under pressure and a deep respect for confidentiality. I specialize in navigating complex payer requirements, submitting prior authorizations, and coordinating clinical documentation to prevent delays and denials.

At Gentiva, I managed a high volume of authorizations across multiple states and payer portals. I calculate timely filing deadlines based on payer policy, select the correct inpatient vs. outpatient forms and place of service codes, and accurately complete prior authorization forms using T-codes, Q-codes, and ICD-10 codes. I also coordinate supporting documentation like CTIs, NOEs, and POCs, while reviewing eligibility and coverage specifics including Medicare/Medicaid plans, LOC, and room & board billing.

In my current role as a Patient Access Representative at Our Lady of Lourdes Women’s and Children’s Hospital, I use EMR systems to manage patient records while reinforcing HIPAA standards and confidentiality. I also handle clinic A/R, collect balances when appropriate, and educate patients on payment expectations and Medicaid managed care access. Across my experience in financial intake and patient access, I bring organized work habits, clear communication, and a commitment to high-quality customer service.

Experience

Work history, roles, and key accomplishments

Current

Patient Access Representative

Current

Our Lady of Lourdes Women's and Children's Hospital

Jun 2025 - Present (10 months)

Managed patient records in EMR systems while upholding HIPAA confidentiality, and handled patient accounts and A/R collections when appropriate. Provided phone support to patients and insurance representatives and educated eligible applicants on Medicaid managed care access.

EMR HIPAA compliance Confidentiality Insurance Verification Managed Medicaid Patient Scheduling Phone Support Medical Records Management

Authorization Specialist

Gentiva

Oct 2023 - Jun 2025 (1 year 8 months)

Completed and submitted prior authorizations for hospice and skilled nursing facility (SNF) services using payer-required codes and supporting clinical documentation. Calculated timely filing deadlines, verified Medicare/Medicaid coverage and level of care, and coordinated with case managers, SNFs, and physicians to prevent delays and denials across high-volume portals.

Prior Authorizations Hospice And SNF Authorization Timely Filing ICD 10 Coding CPT Place Of Service (POS)T Codes And Q Codes CTI NOE POC Documentation

Financial Intake Specialist

LHC Group

Oct 2020 - Oct 2021 (1 year)

Verified insurance eligibility and benefits daily, determined in-network/out-of-network rate requirements, and communicated patient financial responsibilities using legacy systems. Obtained payer authorizations, documented authorization details (including effective/end dates), and served as a liaison between branch locations and payers to resolve urgent requests.

Insurance Verification Authorization Patient Deductible Out Of Pocket Tracking Out Of Network In Network Rate Requirements Liaison Management Customer Service

Patient Access Representative

Lake Charles Memorial Health System

Aug 2019 - Aug 2020 (1 year)

Recorded patient and insurance information in computer systems, obtained pre-approvals when needed, and maintained paper and electronic medical records. Provided updates to patients and staff, relayed treatment instructions when required, and calculated payment information while handling account credits.

Patient Intake Insurance Information Recording Pre Approvals Medical Records Management Payment Calculations Customer Service