Erin Meade
Bluff City
Summary
Detail-oriented professional with extensive experience in funding processes and insurance authorization. Proven ability to assess client needs and implement effective solutions, driving project success and enhancing organizational alignment.
Results-driven with a focus on compliance, communication, and teamwork. Streamlined funding processes, enhancing efficiency and accuracy across departments.
Results-oriented with proven ability to exceed targets and drive success in fast-paced environments. Combines strategic thinking with hands-on experience to deliver impactful solutions and enhance organizational performance.
Pursuing full-time leadership role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Possesses versatile skills in project management, problem-solving, and collaboration. Brings fresh perspective and strong commitment to quality and success.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
17
17
years of professional experience
Work History
Funding Specialist II
National Seating and Mobility Inc
Blountville, TN
11.2018 - Current
- Ensured funding requests were in compliance to timely processing with regulatory standards.
- Evaluated client needs to recommend appropriate funding solutions aligned with organizational goals.
- Collaborated with internal teams to streamline funding processes, enhancing overall efficiency and accuracy.
- Led initiative to improve funding application workflows, resulting in potentially reduced turnaround times for approvals.
- Assisted fellow team members within department charged with responsibility surrounding identifying new channels through which processes could be improved.
- Served as primary point person responsible for communicating updates pertaining matters related directly towards overall progress being made within specific context ensuring that each respective project remained on track to meet established deadlines.
- Monitored project progress against milestones, adjusting funding allocations as needed to ensure successful completion.
- Developed customized presentations for potential funders, showcasing the organization''s mission, accomplishments, and future plans.
- Maintained accurate records of all funding activities, ensuring compliance with insurance requirements and regulations.
- Stayed up to date on insurance requirement changes, processing funding work orders in compliance with current laws.
- Evaluated funding opportunities for alignment with organizational goals and priorities.
- Developed training materials for new staff on funding procedures and best practices.
- Coordinated cross-departmental efforts to ensure alignment in funding strategies and resource utilization.
Insurance Authorization Specialist
Holston Medical Group
Bristol, TN
05.2009 - 11.2018
- Processed insurance authorization requests efficiently, ensuring compliance with company policies and procedures.
- Collaborated with healthcare providers to gather necessary documentation for timely authorizations.
- Monitored authorization statuses, providing updates to patients and healthcare teams proactively.
- Resolved complex authorization issues by coordinating between insurance companies and medical staff.
- Trained new staff on authorization processes, enhancing team knowledge and efficiency.
- Developed standard operating procedures for the authorization workflow, streamlining operations across departments.
- Led initiatives to improve communication channels between clinical staff and payers, reducing turnaround times for approvals.
- Achieved higher accuracy rates in authorizations, utilizing attention to detail and organizational skills.
- Collaborated with healthcare providers to ensure proper documentation for successful authorizations.
- Increased efficiency of the authorization process with effective communication among multidisciplinary teams.
- Developed strong working relationships with physicians'' offices resulting in a smoother flow of required documents when submitting requests.
- Streamlined insurance authorization processes by implementing efficient workflow strategies.
- Coordinated pre-authorization requirements for medical treatments or services, enhancing overall patient experience before appointments.
- Managed high-volume caseloads to meet strict submission deadlines, prioritizing tasks accordingly.
- Reduced claim denials by diligently reviewing and correcting errors in authorization submissions.
- Resolved complex authorization issues, working closely with patients and insurance companies to find solutions.
- Enhanced patient satisfaction rates through timely and accurate insurance verifications.
- Improved team efficiency by providing thorough training and guidance to new employees.
- Assisted billing department in resolving outstanding claims-related issues leading to increased revenue collection.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
- Researched denied claims and contacted insurance companies to resolve these issues.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Developed and maintained productive working relationships with healthcare providers.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Reviewed outstanding requests and redirected workloads to complete projects on time.
Education
Nursing
Northeast State Community College
Blountville, TN05-2005
Skills
- Teamwork and collaboration
- Customer service
- Problem-solving/ Decision making
- Time management
- Attention to detail
- Problem-solving
- Multitasking
- Reliability
- Effective communication
- Adaptability and flexibility
- Verbal, written and face to face communication
- Self/ team motivation
- Analytical thinking/ Documentation review
- Conflict resolution
- Professionalism
- Quality control
- Policies and procedures
- Records management
Timeline
Funding Specialist II
National Seating and Mobility Inc
11.2018 - Current
Insurance Authorization Specialist
Holston Medical Group
05.2009 - 11.2018
Nursing
Northeast State Community College