Heather JenigenHJ
Open to opportunities

Heather Jenigen

@heatherjenigen

Experienced Prior Authorization Specialist with a strong work ethic.

United States
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What I'm looking for

I am looking for a role that values teamwork and offers opportunities for professional growth, where I can leverage my skills in healthcare administration and customer service.

I am an experienced Prior Authorization Specialist with a proven track record in obtaining authorizations and benefits investigations for a variety of medical services. My background includes extensive training in managing high call volumes, evaluating medical records, and ensuring compliance with healthcare regulations. I thrive in fast-paced environments, utilizing my strong multitasking and communication skills to facilitate smooth authorization processes.

Throughout my career, I have demonstrated a commitment to continuous learning and improvement, maintaining a 98% approval rating for prior authorizations while successfully reducing lead times by implementing efficient systems. My entrepreneurial spirit has also led me to co-found a successful e-commerce business, where I honed my skills in product development, marketing, and customer relations. I am dedicated to providing exceptional service and ensuring high levels of customer satisfaction in every role I undertake.

Experience

Work history, roles, and key accomplishments

PH
Current

Prior Authorization Specialist

Prestige Staffing – Mercy Hospital

Feb 2025 - Present (5 months)

Efficiently managed high call volumes, handling up to 35 calls per hour with strong multitasking and communication skills. Evaluated medical records, treatment plans, and physician orders to determine authorization needs, ensuring adherence to healthcare regulations and HIPAA.

PH

Prior Authorization Specialist

Prestige Staffing – Piedmont Hospital

Dec 2024 - Present (7 months)

Managed high call volumes remotely, handling up to 35 calls per hour while multitasking effectively. Verified insurance coverage and initiated prior authorizations for various medical services using multiple payer portals.

CO

Prior Authorization Specialist

Countryside Orthopaedics

Aug 2023 - Present (1 year 11 months)

Evaluated medical records and initiated prior authorizations for medical imaging and PT/OT/DME products. Maintained detailed records of authorization requests and assisted in the appeals process for denied requests.

EV

Front Desk Receptionist

ENT and Allergy Specialists of Virginia

Mar 2023 - Present (2 years 4 months)

Managed front desk operations, including patient check-ins/check-outs and insurance verification. Maintained patient records and ensured confidentiality and HIPAA compliance.

NO

Front Desk Receptionist

Northern Virginia Center for Arthritis, Rheumatology and Ost

Mar 2022 - Present (3 years 4 months)

Oversaw front desk responsibilities, including greeting patients and managing appointments. Maintained accurate records and ensured adequate staffing.

TV

Prior Authorization Coordinator

The Arthritis & Rheumatology Clinical Center of Northern Vir

Aug 2019 - Present (5 years 11 months)

Initiated and completed prior authorizations for high-cost infusions and injectable drugs, coordinating with various insurance providers. Managed front desk responsibilities and supervised staff.

AM

Front Desk Receptionist

American Sleep Medicine

May 2018 - Present (7 years 2 months)

Managed front desk operations, including patient check-ins and insurance eligibility verification. Maintained patient records and ensured HIPAA compliance.

Education

Degrees, certifications, and relevant coursework

FS

Falls Bridge School

High School Diploma, General Studies

Grade: 3.75 GPA

Maintained a 3.75 GPA. The school is permanently closed, but transcripts can be provided.

Tech stack

Software and tools used professionally

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Heather Jenigen - Prior Authorization Specialist - Prestige Staffing – Mercy Hospital | Himalayas