Shannon NewSN
Open to opportunities

Shannon New

@shannonnew

Experienced healthcare administrative professional specializing in prior authorizations.

United States

What I'm looking for

I am seeking a remote position that allows me to leverage my expertise in healthcare administration to enhance patient care and streamline processes.

I am an experienced healthcare administrative professional with a strong background in prior authorizations, insurance verification, and patient coordination. Over the years, I have honed my skills in streamlining authorization workflows and reducing care delays, which has significantly contributed to the success of revenue cycles in the organizations I've worked with.

In my most recent role as an Authorization Specialist at Gainesville Pediatric Medicine, I conducted outbound calls to insurance companies and utilized payer portals to verify eligibility and benefits. My proactive communication with healthcare providers, insurance companies, and patients ensured that necessary clinical documentation was gathered efficiently. I take pride in maintaining accurate records and resolving discrepancies related to prior authorization requests, which ultimately prevents delays in patient care.

Throughout my career, I have developed a comprehensive understanding of healthcare regulations and have become adept at navigating various EHR/EMR systems, including EPIC and Cerner. I am passionate about patient advocacy and committed to providing exceptional customer service, ensuring that patients receive the care they need without unnecessary delays.

Experience

Work history, roles, and key accomplishments

GM

Authorization Specialist

Gainesville Pediatric Medicine

Jun 2023 - Apr 2025 (1 year 10 months)

Conducted outbound calls to insurance and utilized payer portals to verify eligibility and benefits, initiating and obtaining prior authorizations for outpatient surgeries, procedures, and radiology. Communicated with healthcare providers, insurance companies, and patients to gather necessary clinical documentation, maintaining accurate records in electronic health record systems. Identified and r

CS

Radiology Authorization Specialist

Community Health Systems

May 2021 - May 2023 (2 years)

Submitted and obtained prior authorizations for radiology procedures, including MRI, CT, PET scans, and ultrasounds, ensuring compliance with payer-specific guidelines. Verified insurance eligibility and benefits, communicating with patients, providers, and insurance representatives to gather required clinical documentation. Navigated payer portals and utilized systems such as Availity, Evicore, C

AR

Medical Transportation Scheduler

Aryv

Apr 2018 - Apr 2021 (3 years)

Managed a high-volume caseload of daily ride requests, cancellations, and reschedules using proprietary dispatching and routing software. Scheduled and coordinated non-emergency medical transportation services for patients across multiple regions, ensuring timely pick-ups and drop-offs. Handled real-time logistics challenges including last-minute cancellations and traffic delays, while monitoring

FT

Scheduling Coordinator

Fit For Life Physical Therapy

Aug 2010 - Jun 2016 (5 years 10 months)

Managed a high volume of incoming calls, responding to patient inquiries and scheduling requests in a timely manner, and communicated with medical providers to confirm availability. Handled patient follow-up communications, ensuring reminders were sent for upcoming appointments and addressing any questions. Managed patient intake forms, verified insurance details, and entered patient information i

Education

Degrees, certifications, and relevant coursework

HS

High School

High School Diploma, General Studies

Obtained a High School Diploma, providing a foundational education.

UI

Unspecified Institution

Certification, Medical Assisting

Completed certification as a Registered Medical Assistant, gaining expertise in clinical and administrative tasks. Acquired BLS and CPR certifications, demonstrating proficiency in basic life support and cardiopulmonary resuscitation.

Tech stack

Software and tools used professionally

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Shannon New - Authorization Specialist - Gainesville Pediatric Medicine | Himalayas