Summary
Overview
Work History
Education
Skills
Timeline
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Brianna Bissett

Brianna Bissett

Mooresville

Summary

Seasoned Prior Authorization Coordinator with deep understanding of insurance policies, medical terminology and healthcare systems. Possess strong skills in coordinating patient care, authorizing procedures and managing health records. Demonstrated ability to streamline processes for efficiency while maintaining compliance with regulatory standards. Have contributed significantly to enhancing team productivity and improving patient satisfaction levels in previous roles.

Overview

14
14
years of professional experience

Work History

Prior Authorization Coordinator

Orthocarolina Spine Center
Charlotte
03.2024 - Current
  • Communicated with insurance companies to verify coverage and eligibility.
  • Collected necessary patient information to support authorization submissions.
  • Maintained accurate records of authorization requests and outcomes.
  • Coordinated with healthcare providers to gather additional documentation as needed.
  • Resolved discrepancies in authorization requests through effective problem-solving techniques.
  • Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
  • Performed detailed medical reviews of prior authorization request, following established criteria and protocols.

Operations Analyst

Corvid Technologies
Mooresville
06.2021 - 11.2023
  • Managed user accounts and maintained Salesforce data integrity.
  • Customized Salesforce dashboards and reports for team visibility.
  • Conducted regular audits of data accuracy to ensure compliance and reliability.
  • Created reports and dashboards in Salesforce to meet business requirements.
  • Resolved operational issues by implementing effective problem-solving strategies.
  • Collaborated with management to optimize resource allocation and utilization.

Patient Flow Coordinator

Maple Grove Hospital
Maple Grove
01.2014 - 05.2019
  • Coordinated patient admissions and discharges to optimize flow efficiency.
  • Verified patient insurance coverage and eligibility for medical services.
  • Communicated with insurance companies to resolve discrepancies in claims.
  • Collaborated with multidisciplinary teams to streamline patient care processes.
  • Utilized electronic health record systems for accurate patient tracking and documentation.
  • Facilitated communication between patients, families, and healthcare providers effectively.

Health Unit Coordinator

Naval Hospital Camp Pendleton
Oceanside
02.2011 - 10.2013
  • Coordinated patient admissions and discharges, ensuring smooth transitions within the facility.
  • Maintained accurate patient records and updated information in electronic health systems.
  • Assisted with the preparation of medical charts for upcoming appointments and procedures.
  • Supported healthcare teams by providing essential information and administrative assistance.
  • Coordinated communication between various departments within the facility regarding patient care needs.

Education

High School Diploma -

St. Cloud Technical High School
St. Cloud, MN
05-2002

Nursing, Chemistry

St. Cloud State University
St. Cloud, MN

Skills

  • Prior authorization
  • Insurance verification
  • Medical record maintenance
  • Compliance auditing
  • Data analysis
  • Healthcare operations
  • Claims resolution

Timeline

Prior Authorization Coordinator

Orthocarolina Spine Center
03.2024 - Current

Operations Analyst

Corvid Technologies
06.2021 - 11.2023

Patient Flow Coordinator

Maple Grove Hospital
01.2014 - 05.2019

Health Unit Coordinator

Naval Hospital Camp Pendleton
02.2011 - 10.2013

High School Diploma -

St. Cloud Technical High School

Nursing, Chemistry

St. Cloud State University

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Brianna Bissett