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Lisa Merkiel

@lisamerkiel

Healthcare authorizations specialist skilled in CMS-compliant documentation, insurance appeals, and patient support for oxygen and CPAP services.

United States
Message

What I'm looking for

I’m looking for a healthcare role where I can own insurance authorizations, manage denials and appeals, ensure CMS compliance, and support patients and providers with accurate, organized documentation.

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

Education

Degrees, certifications, and relevant coursework

BS

Buena Vista High School

Completed education at Buena Vista High School in Saginaw, Michigan. Specific degree or completion details were not provided.

Davenport University logoDU

Davenport University

Completed coursework at Davenport University. The program, major, and degree were not specified.

Tech stack

Software and tools used professionally

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