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renee Starn

@reneestarn

Prior Authorization Representative at Mayo Clinic who handles approvals and denials across hospital, ED, and clinic settings.

United States

Message

At Mayo Clinic, I resolve referral, precertification, and prior authorization requests across hospital, ED, and clinic settings. I also complete pre-appointment insurance reviews and manage denials recovery within Patient Access.

At OMNI Orthopaedics, I secured precertification for office procedures, surgeries, DME, and diagnostic imaging. I verified benefits and eligibility and used MEDENT to manage patient records and authorization workflows.

Earlier, I handled neurology precertifications at NeuroCare Center Inc., including Botox therapy, and processed radiology and imaging authorizations. I also bring experience in surgical scheduling, insurance verification, billing, and appeals, with EHR systems including NextGen.

Experience

Work history, roles, and key accomplishments

Current

Prior Authorization Representative

Current

Mayo Clinic

Dec 2021 - Present (4 years 10 months)

Resolved referral, precertification, and prior authorization requests for all payors across hospital, ED, and clinic settings. Completed pre-appointment insurance reviews and managed denials recovery functions within the Patient Access department.

Prior Authorizations Pre Certification Insurance Verification Electronic Health Records (EHR)Denial Management Patient Access Commercial Payers Medicare Medicaid Government Payors

Surgery Scheduler

OMNI Orthopaedics

Jul 2020 - May 2021 (10 months)

Completed all paperwork required for scheduling surgical procedures and managed 20+ physician schedules and surgery block times. Documented and explained all requirements to patients prior to surgical procedures.

Surgical Scheduling Medical Terminology Orthopaedics Patient Care Coordination Prior Authorizations Documentation

Senior Prior Authorization Specialist

OMNI Orthopaedics

Sep 2017 - May 2021 (3 years 8 months)

Secured medical precertification for office procedures and surgeries, and coordinated diagnostic imaging precertification. Verified benefits and eligibility prior to services and worked with all insurance types including commercial, Medicare, Medicaid, and government plans.

Prior Authorizations Pre Certification Insurance Verification Durable Medical Equipment Authorization Customer Service Provider Relations Appeals MEDENT Electronic Health Records (EHR)

Medical Receptionist

OMNI Orthopaedics

Feb 2017 - Sep 2017 (7 months)

Managed patient check-in and check-out, performed insurance verification, and registered new patients. Posted daily office charges and trained new employees as needed.

Patient Check In Insurance Verification Patient Registration Medical Office Training

Precertification Specialist

NeuroCare Center Inc.

Feb 2016 - Nov 2016 (9 months)

Specialized as precertification specialist for neurology practice, focusing on botox therapy treatments. Processed precertifications for radiology and imaging, and managed billing for commercial, Medicare, and Medicaid insurances.

Pre Certification Prior Authorizations Radiology Billing NextGen Electronic Health Records (EHR)Denials Appeals Collections

Insurance Verification Specialist/Billing Representative

Eye Centers of Ohio

Apr 2015 - Feb 2016 (10 months)

Verified commercial, Medicare, and Medicaid insurance coverage and specialized in precertification and prior authorizations for outpatient procedures. Served as primary medical biller for VSP commercial insurance members and managed denial and appeals processes.

Insurance Verification Pre Certification Prior Authorizations Medical Billing Denial Management Appeals Customer Service VSP