ETE T-N
@etn
Experienced healthcare operations professional specializing in prior authorizations.
ZimbabweWhat I'm looking for
With over 10 years of experience in healthcare operations, I have honed my skills in insurance verification, prior authorizations, and EMR documentation. My expertise lies in coordinating approvals across multiple payers and managing scheduling workflows, ensuring productivity in high-volume environments. I take pride in my proven ability to resolve referral issues and support clinical teams effectively.
Throughout my career, I have demonstrated a commitment to maintaining strict accuracy and compliance with HIPAA standards. In my current role as a Care Coordination Representative at Verisma, I successfully file clinical notes and insurance documents for over 100 hospitals, meeting rigorous metrics while ensuring documentation readiness. My previous experience as a Patient Access Supervisor at Integris Health allowed me to lead a team in processing referrals and securing pre-authorizations, further solidifying my leadership and training capabilities.
Experience
Work history, roles, and key accomplishments
Care Coordination Representative
Verisma
Aug 2024 - Present (11 months)
Filed clinical notes and insurance documents across Epic-based systems for over 100 hospitals using SOP-driven workflows. Met 20-document-per-hour metrics while maintaining strict accuracy and HIPAA compliance standards.
Patient Access Supervisor
Integris Health
Aug 2021 - Aug 2024 (3 years)
Led a team of four in processing referrals, verifying insurance, and securing pre-authorizations for surgeries and specialty visits. Monitored EMR scheduling and authorization queues to ensure service readiness and appointment compliance.
Account Manager
PepsiCo
Oct 2017 - Apr 2019 (1 year 6 months)
Handled order entry, scheduling, and service recovery for over 20 B2B accounts in logistics and delivery coordination. Maintained client relationships by resolving escalated issues and managing time-sensitive service changes.
Patient Service Representative
OU Physicians
Feb 2014 - Oct 2017 (3 years 8 months)
Processed over 80 daily referrals for pediatric cardiology and obtained prior authorizations for specialty appointments. Verified insurance, registered new patients, and updated demographics across Epic and payer portals.
Education
Degrees, certifications, and relevant coursework
AAPC
Certified Professional Coder (CPC), Medical Coding
Currently pursuing certification as a Certified Professional Coder (CPC) through AAPC. This certification will enhance my knowledge of medical coding and billing practices.
Tech stack
Software and tools used professionally
Availability
Location
ZimbabweAuthorized to work in
Job categories
Interested in hiring E?
You can contact E and 90k+ other talented remote workers on Himalayas.
Message EFind your dream job
Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!
