Open to opportunities

Susanna Amelkhine

@susannaamelkhine

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Results-driven medical administrative professional with expertise in prior authorization and office operations.

United States

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What I'm looking for

I am seeking a patient-focused healthcare operations role where I can combine prior authorization expertise, billing knowledge, and team leadership to improve patient outcomes and operational efficiency.

I am a results-driven administrative professional with over five years of experience supporting medical offices and clinical teams. I specialize in prior authorization, patient financial services, medical billing and coding, and physician support, delivering reliable operational support in fast-paced environments.

In prior authorization roles I coordinated with healthcare teams, insurers, and patients to avoid treatment delays and ensure timely coverage determinations. I consistently reviewed payer policies, entered decisions into authorization tools, and escalated barriers to leadership to expedite patient care.

As a medical office coordinator I led day-to-day practice operations, trained staff, managed billing and coding processes, and resolved patient complaints with a focus on customer service and financial prudence. I also handled medical records requests in compliance with state and federal laws.

I hold a Bachelor of Science in Health Entrepreneurship and Innovations and bring strong technical proficiency with Microsoft Office, Cerner Health, HST, and scheduling systems. I am committed to process improvement, confidentiality, and facilitating optimal patient outcomes.

Experience

Work history, roles, and key accomplishments

Prior Authorization Specialist

Global Health (University of Pennsylvania)

May 2022 - Jun 2024 (2 years 1 month)

Coordinated prior authorization and concurrent review processes to prevent treatment delays and denials, communicated determinations to physician offices, and prioritized caseloads to expedite patient care; improved authorization turnaround and reduced barriers to timely treatment.

Prior Authorization Review Medical Billing Insurance Verification Utilization Review Clinical Documentation Authorization Care Coordination

Medical Office Coordinator

Minimally Invasive Spine Surgical Center of Paradise Valley

Aug 2019 - Dec 2020 (1 year 4 months)

Led day-to-day practice operations, staff training, and patient flow while overseeing billing and coding processes to maximize reimbursement and ensure compliance with records and legal requirements.

Office Administration Patient Scheduling Medical Billing Staff Training Patient Relations Revenue Cycle Management

Patient Financial Services Representative

Banner Health

Jan 2018 - Aug 2019 (1 year 7 months)

Managed patient registration, insurance verification, collections, and scheduling to optimize reimbursement and streamline patient flow while providing financial guidance and resolving payer-related issues.

Patient Registration Insurance Verification Collections Scheduling Customer Service Referral Validation Financial Counseling

Technician / Prior Authorization Specialist

CVS Health

Mar 2016 - Sep 2017 (1 year 6 months)

Served as primary contact for patient registration and demographics, processed authorizations and supporting coding documentation, and entered coverage determinations into authorization systems to ensure accurate reimbursement.

Patient Registration Medical Coding Authorization Systems Insurance Verification Customer Support