HEATHER DALTON
Oil Springs
Summary
Professional in healthcare industry with strong background in managing prior authorizations and ensuring compliance. Skilled in navigating complex systems, problem-solving, and maintaining accurate records. Known for effective collaboration, adaptability, and delivering results in fast-paced environments. Reliable team player with expertise in healthcare regulations, communication, and customer service.
Overview
19
19
years of professional experience
Work History
Pre-Authorization Specialist
Highlands ARH Regional Medical Center
09.2023 - Current
- I work remotely to obtain prior authorizations through insurance companies for CT/MRI/PET scans.
- Utilize a daily spreadsheet using Microsoft Excel to keep track of pending, approved and denied cases.
- Daily use of EMR (MEDITECH) and portals such as Availty, Carelon and RadMD.
- Daily communication with coworkers through Microsoft teams.
Office Manager
Dr. Bahram Forouzandeh
03.2020 - 09.2023
- Obtain Prior-authorizations through insurance companies for all surgical procedures and radiology that Dr. Forouzandeh orders.
- Front desk receptionist, two days a week, checking in patients, taking co-pays, verifying each patient's insurance information, answering phone calls, sending and receiving faxes
- I spend one day a week answering emails, sorting through paper mail, employee payroll, depositing and documenting all credit card, check, and money order payments
Co-Owner/Secretary
Broadway Exhaust
03.2016 - 03.2018
- Front-desk receptionist
- Book-keeping
- Ordered weekly inventory
- Answered phone calls and scheduled appointments for customers daily
Telemarketer
Millennium Telemarketing
01.2007 - 03.2007
- Explained products and answered questions to encourage customers to complete purchases.
- Used persuasive communication skills to market products and services.
- Documented customer phone numbers, address details and order information in computer system.
Education
Associate of Applied Science - Medical Information Technology
Big Sandy Community and Technical College
Paintsville, KY05.2020
Skills
- Good communication skills (in person Multi-tasking or telephone)
- Medical terminology
- Documentation and record-keeping
- CPT and icd10 Coding
- Office Management
- Insurance verification
- Prior authorization processing
Timeline
Pre-Authorization Specialist
Highlands ARH Regional Medical Center
09.2023 - Current
Office Manager
Dr. Bahram Forouzandeh
03.2020 - 09.2023
Co-Owner/Secretary
Broadway Exhaust
03.2016 - 03.2018
Telemarketer
Millennium Telemarketing
01.2007 - 03.2007
Associate of Applied Science - Medical Information Technology
Big Sandy Community and Technical College