Customer Service professional with extensive experience in office administration and front desk operations. Proficient in patient scheduling, insurance verification, and managing sensitive situations with professionalism. Recognized for exceptional patient support and maintaining HIPAA compliance while effectively resolving concerns in high-pressure environments. Strong communicator and collaborator focused on fostering a welcoming experience for patients and families.
Overview
4
4
years of professional experience
Work History
Prior Authorization Specialist
Kintegra
Gastonia
11.2025 - Current
Managed prior authorizations for prescription medication and radiology/imaging services, including MRI, CT, PET, ultrasound, and X-ray.
Verified insurance benefits and determined prior authorization requirements across multiple payers.
Collected and submitted clinical documentation to support medical necessity in compliance with payer guidelines.
Coordinated with providers, pharmacies, and imaging centers to ensure timely approval and scheduling.
Utilized insurance portals, phone, and fax to submit and track authorization requests.
Monitored authorization statuses and expiration dates to prevent claim denials.
Maintained accurate documentation within EHR systems, and authorization tracking tools.
Communicated authorization decisions clearly to providers and patients.
Assistant Office Manager/Medical Receptionist
Foothills Consulting Associates
Shelby
01.2022 - 10.2025
Office Manager
Supported daily administrative operations for a multidisciplinary behavioral health team, including therapists, psychiatrists, and addiction counselors.
Managed scheduling, intake coordination, and patient communications for up to 100+ patients weekly, ensuring efficient and compassionate service.
Assisted in staff onboarding, training, and performance oversight for front office personnel.
Utilized Electronic Health Records (EHR) systems for documentation, billing, and scheduling tasks.
Responded to client concerns and emergencies with professionalism and empathy, including de-escalation of distressed patients or family members.
Served as liaison between clinical staff and administrative leadership to improve workflows with service delivery.
Stepped in for the Office Manager during absences to ensure uninterrupted operations and patient care.
Medical Receptionist
Assured patients' data was accurate, with information consisting of insurance, demographics, and medical history.
Utilized various software technologies to schedule appointments and to fax, copy, and scan documents as required.
Followed strict HIPAA laws and company policies to ensure the appropriate measures were taken in the office.
Provided excellent customer service, while maintaining a multi-line phone system, greeting patients, accepting various forms of payment, scheduling new appointments, and enforcing guidelines.
Ensured patients' messages were given to the appropriate personnel in a timely manner.