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@chinekquagriffin
Experienced medical authorization specialist focused on accurate billing.
I am a dedicated precertification and authorization specialist with experience in hospital and outpatient settings, ensuring timely processing of authorizations and accurate insurance verification.
At Mayo Clinic I manage EPIC work queues, coordinate CPT and ICD-10 coding with surgical abstractors, and track authorizations for imaging, procedures and ancillary services to secure payment and continuity of care.
Previously, I coordinated referrals and authorizations at a multi‑specialty orthopedic practice and managed medical billing, claims appeals, and AR processes for a healthcare billing employer, developing strong knowledge of Medicare, Medicaid and major insurer portals.
I am detail-oriented, HIPAA‑compliant, proficient with EMR/EPIC and Microsoft Office, and committed to improving patient experience by synchronizing authorizations, scheduling and provider communications.
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Work history, roles, and key accomplishments
Manage insurance authorizations and pre-certifications for diagnostic and surgical procedures, maintaining EPIC work queues and reducing authorization delays through proactive follow-up and coordination with providers.
Southeast Orthopedic Specialists
Oct 2016 - Sep 2018 (1 year 11 months)
Coordinated referrals and authorizations for physical therapy and specialty care, ensured accurate patient demographics and documentation, and maintained referral tracking to support continuity of care.
Martin Gottlieb & Associates
Mar 2013 - Apr 2016 (3 years 1 month)
Processed billing for emergency services, managed AR aging, appealed denied claims, and posted payments while ensuring HIPAA compliance and accurate insurance interactions.
Degrees, certifications, and relevant coursework
Vocational coursework, Marketing
2002 - 2004
Completed vocational coursework in Marketing at Mercer County Vocational School from 2002 to 2004.
High school diploma, General Studies
2000 - 2004
Completed high school diploma with general studies at Hightstown High School from September 2000 to June 2004.
Software and tools used professionally
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