Yvette Munroe
Prior Auth Representative-Patient Access
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About
I am seeking a position to broaden the interpersonal and business skills that I have learned from my previous work experiences and will become a profitable asset to a reputable organization. I am a highly organized result-driven and meticulous individual that takes immense pride in accomplishing tasks professionally and promptly.
Experience
Prior Auth Representative-Patient Access - Catholic Medical Center - Manchester, NH
(2023-10)
- Reviewing patient insurance information to determine eligibility and benefits for specific medical procedures or services
- Submitting requests to insurance companies for authorization of medical services, including medications, procedures, and treatments
- Maintaining accurate records of authorization requests, approvals, denials, and other relevant information in the patient's medical record
- Interacting with patients, providers, insurance representatives, and other healthcare professionals to facilitate the authorization process
- Tracking the status of authorization requests, following up with insurance companies, and appealing denials when necessary
- Adhering to insurance company guidelines and regulatory requirements related to prior authorization
Customer Service Representative - XPO - Manchester, NH
(2022-10 - 2023-08)
- Customer Service for a large freight company in the dispatch office
- Customer Service (face-to-face, over the telephone, written, as well as online)
- Promote and facilitate communication between customers and the organization
- Handle any situation including problematic circumstances with ease
Client Experience Specialist - Teleperformance - Wellcare - Remote Work
(2021-12 - 2022-10)
- Call Center Remote (at home) Agent
- Medicare/Medicaid Customer Service Agent
- Call Center experience
- Multiline phone system experience
Caregiver for an elderly parent with Dementia - Hillsboro, NH
(2017-01 - 2021-12)
Post 59 Business Office Manager/Bookkeeper - The American Legion Post 59 - Hillsboro, NH
(2013-05 - 2017-01)
- Team Leadership experience
- Online bookkeeping and accounting experience
- Accounts receivable, accounts payable, payroll, tax preparation and collections
- Type correspondences, filing, faxing, answering the multi-line telephone system, producing weekly expense reports, ordering all supplies, processing all new account paperwork, handling daily mail, processing bulk mailing, and maintaining all office equipment
- Assisted in all positions when necessary. (i.e., bartenders, wait staff, and kitchen help)
Optician Assistant/Office Manager - Laflamme Optical and Eye Care - Hillsboro, NH
(2012-05 - 2013-05)
- Sales experience
- Assist in the upkeep of the website
- Assure the efficiency of patients flow to the appropriate providers, preparing medical charts, scheduling, and confirming appointments
- Schedule all consultations, hospitalizations, and surgeries
- Process all insurance claims to verify the accuracy of the information
Chart Merge Technician - Concord Hospital - Concord, NH
(2010-11 - 2011-04)
- Manage the medical record management; including patient chart preparation and maintenance of onsite medical records
- Verify the credentials and licenses for the providers, home health, skilled nursing, and assisted living facilities
- Make, dispense, repair, and order eyeglasses and contact lenses, including proper measurements for a single lens, bi-focal, and/or progressive-lens customers (starting with the patient and ending with the communication with the lab)
