Lisa Merkiel
@lisamerkiel
Healthcare authorizations specialist skilled in CMS-compliant documentation, insurance appeals, and patient support for oxygen and CPAP services.
What I'm looking for
I’m a healthcare and customer service professional who specializes in medical equipment authorizations, eligibility verification, and patient support. In my current role as a Qualifications Specialist / Authorizations with Airway Oxygen / Adapt Health, I process PAP orders, review qualifying documentation, and submit prior authorizations based on CMS and insurance criteria.
I manage denials and appeals to help drive coverage approval, while communicating with patients, insurance companies, and medical offices. I rely on Tennr, Parachute, and Brightree systems and retrieve documentation through fax, phone, and EPIC to keep orders moving accurately and on time.
Previously, I served as a CSR / Compliance Specialist / CMN Representative at CareLinc Medical Equipment, where I obtained authorizations, handled appeals, created ABNs and statements, and corrected Certificates of Medical Necessity. Earlier in my career as a Rehabilitation Technician at Hope Network NeuroRehabilitation Services, I delivered 1:1 or 2:1 patient care and maintained strong documentation and shift communication—habits I bring into compliance-focused work today.
Experience
Work history, roles, and key accomplishments
Process PAP (e.g., CPAP/BiPAP) orders by reviewing qualifying documentation against CMS and insurance criteria, and submit prior authorizations. Manage denials and appeals and coordinate with patients, insurance companies, and medical offices using Tennr, Parachute, and Brightree.
CSR / Compliance Specialist
CareLinc Medical Equipment
Jul 2017 - Sep 2020 (3 years 2 months)
Obtained authorizations and managed appeals while assisting patients with insurance documentation requirements for CPAP and BiPAP orders. Created ABNs and statements, corrected Certificates of Medical Necessity, verified coverage, and arranged payment plans.
Rehabilitation Technician
Hope Network NeuroRehabilitation Services
Jul 2013 - Aug 2018 (5 years 1 month)
Provided 1:1 or 2:1 patient care and supported 3rd-shift leadership through medication administration and detailed shift documentation. Assisted with ADLs and behavioral interventions and communicated patient progress during shift handoffs.
Education
Degrees, certifications, and relevant coursework
Buena Vista High School
Completed education at Buena Vista High School in Saginaw, Michigan. Specific degree or completion details were not provided.
Davenport University
Completed coursework at Davenport University. The program, major, and degree were not specified.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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