Experience

The Villages Health System, LLC

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Practice Support Supervisor 1

  • Apr 2023 - Present

  The Villages, Florida, United States

• Authorization Specialist Specialty Division -Team Lead

  Specialty Care Center Obtain prior authorization for prescription medications and physician-administered injectable medications. Development of workflows for prior authorization processes. Collaboration with clinical staff for patient care, tracking therapies and clinical documentation. Collaboration with Inventory coordinator for ordering and tracking injectable medications. Scheduling appointments. Verbal and written correspondence with insurance companies, other physician offices and patients… Show more Obtain prior authorization for prescription medications and physician-administered injectable medications. Development of workflows for prior authorization processes. Collaboration with clinical staff for patient care, tracking therapies and clinical documentation. Collaboration with Inventory coordinator for ordering and tracking injectable medications. Scheduling appointments. Verbal and written correspondence with insurance companies, other physician offices and patients. Collaboration with coding and billing departments; verification of clinical documentation, accurate coding and billing requirements.



The Villages Health System, LLC

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Authorization Specialist

  • Jan 2020 - Apr 2022

  Specialty Care Center

• Practice Support team member

  • Jul 2019 - Dec 2019



United Security Assurance Company of PA

• Underwriting Supervisor

  • Apr 2004 - Dec 2019

  Wildwood, FL (remote) Review applications, personal history interviews and medical records to determine if an applicant is a good risk for the company with regard to long term care/ home health care, life insurance, and disability insurance; speak on webinars and at conferences regarding United Security Assurance's "underwriting philosophy" and/or how to be a better field underwriter; verbal and written communication with doctor's offices, agents and applicants; employee training; development and revisions of… Show more Review applications, personal history interviews and medical records to determine if an applicant is a good risk for the company with regard to long term care/ home health care, life insurance, and disability insurance; speak on webinars and at conferences regarding United Security Assurance's "underwriting philosophy" and/or how to be a better field underwriter; verbal and written communication with doctor's offices, agents and applicants; employee training; development and revisions of underwriting guidelines, personal history interview questionnaires, and training manuals. Show less