Sarah Ann Hansen
Fresno
Summary
Efficient Authorization Specialist with comprehensive knowledge of medical insurance policies, coding and procedures. Demonstrated ability to liaise effectively between patients, healthcare providers, and insurance companies for smooth transactions. Strengths include strong problem-solving skills, thoroughness in documentation and a keen eye for identifying inconsistencies. Proven impact in previous roles includes streamlined authorization processes, improved patient satisfaction rates, and reduced claim denials.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Authorization Specialist
cCARE
Fresno
08.2023 - Current
- Submit and retrieve authorizations for chemotherapy regimens
- Reviewed and processed pre-authorization requests for medical procedures, ensuring compliance with insurance guidelines
- Collaborated with healthcare providers to obtain necessary documentation and clinical information for pre-authorization requests
- Maintained accurate records of all pre-authorization activities in the electronic database
- Communicated with insurance companies to follow up on pending or denied pre-authorization requests
- Resolved issues related to incomplete or inaccurate documentation by coordinating with healthcare providers and insurance companies
- Developed strong knowledge of different insurance plans, policies, and procedures related to preauthorizations
- Ensured timely submission of complete and accurate pre-authorization requests to minimize delays in patient care
- Collaborated with the billing department to ensure proper coding and billing practices for authorized procedures
- Identified opportunities for process improvement in the pre-authorization workflow and implemented effective solutions
- Provided training and guidance to new team members on the processes involved in handling preauthorizations
- Maintained confidentiality of patient information according to HIPAA regulations at all times
Authorization Specialist
Urology Associates of Central California
Fresno
03.2022 - Current
- Obtain authorization for all medical procedures including radiology, chemotherapy, and surgery done in office, surgery center as well as outside facilities and hospitals
- Verify Insurance and Eligibility
- Verify Patient Referrals
- Obtain benefits for procedures
Medical Assistant
Advanced Retina Care
Fresno
01.2021 - 03.2022
- Screen/interview patients take history
- Test Vision
- Instill drops
- Prepare injections
- Cleaning rooms
- New patient referrals
- Check insurance eligibility
- Assist doctor
Medical Assistant
Central California Pain Consultants
Fresno
10.2021 - 12.2021
- Room Patients
- Take vital signs
- Ua's
- Injections
- Clean and stock rooms
- Interview patients
- Ims system
- Schedule appointments
- Send out medication refil requests
- Scan
- Fax
- Send out referrals
Manager
The London Bridge Pub
Monterey
06.2007 - 03.2020
- Scheduled employees; spoke with vendors regarding deliveries and repairs; maintained health and safety standards, as well as fire protocol; provided excellent customer service; tended bar; processed payroll; trained new employees; chaired employee meetings; oversaw disciplinary action of employees; handled customer complaints; and arranged and organized group events.
Education
Diploma - Medical Assisting
Central Coast College
Salinas, CA10.2021
High school diploma or GED -
Skills
- Clinical laboratory experience
- Laboratory procedures
- Venipuncture
- Insurance Verification
- Anatomy knowledge
- OSHA
- Experience administering injections
- Computer skills
- Patient Care
- Clerical Experience
- HIPAA
- Vital signs
- Medical office experience
- Microsoft Office
- EMR systems
- Authorization management
- Pre-authorization processing
- Healthcare compliance
- Team training
- Problem solving
- Effective communication
- Customer service
- Time management
Certification
- CCMA NHA, 09/01/21, 09/01/23
- Certified Medical Assistant
- EPA Certification
- CPR Certification
Timeline
Authorization Specialist
cCARE
08.2023 - Current
Authorization Specialist
Urology Associates of Central California
03.2022 - Current
Medical Assistant
Central California Pain Consultants
10.2021 - 12.2021
Medical Assistant
Advanced Retina Care
01.2021 - 03.2022
Manager
The London Bridge Pub
06.2007 - 03.2020
Diploma - Medical Assisting
Central Coast College
High school diploma or GED -
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