Summary
Overview
Work History
Education
Skills
Timeline
Generic

Media Duggan

Colorado Springs

Summary

Dynamic Diagnostic Authorization Specialist with a proven track record at Rocky Mountain Cancer Center, excelling in prior authorization processing and effective communication. Recognized for consistently exceeding productivity targets while ensuring HIPAA compliance. Adept at multitasking and problem-solving, fostering collaboration among healthcare teams to enhance patient care and streamline workflows.

Overview

34
34
years of professional experience

Work History

Diagnostic Authorization Specialist

Rocky Mountain Cancer Center
06.2022 - Current
  • Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
  • Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
  • Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
  • Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
  • Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.

Dental Insurance Coordinator

Crossroads Family Dentistry
01.2015 - 06.2022
  • Negotiated pre-authorizations for necessary dental procedures, securing coverage for vital treatments otherwise not covered.
  • Assisted patients in understanding their dental insurance benefits, coverage limits, and out-of-pocket expenses.
  • Supported patients throughout the treatment process by answering questions about their financial responsibility concerning deductibles, copayments, or coinsurance amounts.
  • Served as a liaison between patients, dental providers, and insurance companies to resolve any discrepancies or misunderstandings regarding coverage or billing issues.

Critical Care TEchnician

UC Health
08.2001 - 10.2004
  • Consistently provided high-quality care under pressure, successfully managing multiple priorities during critical situations and emergency scenarios.
  • Demonstrated empathy towards patients'' emotional well-being while providing compassionate care under challenging circumstances.
  • Proactively identified potential complications by closely observing patients for signs of clinical deterioration, alerting medical staff as needed.
  • Developed and maintained rapport with coworkers and local hospital staff to facilitate efficient patient care.
  • Conducted patient assessments, recorded vitals, and analyzed records and charts to define care requirements.

Secretary

Widefield School District 3
08.1991 - 06.2001
  • Handled sensitive information discreetly, maintaining confidentiality when managing personnel files or financial data.
  • Answered multi-line phone system and enthusiastically greeted callers.
  • Maintained daily report documents, memos and invoices.
  • Scheduled appointments and conducted follow-up calls to clients.
  • Managed executive calendars, scheduling appointments and meetings to optimize time management.

Education

No Degree - Phlebotomy

Phlebotomy Training Specialist
Colorado Springs, CO
11-2020

Skills

  • Medical terminology expertise
  • Claims management
  • Insurance verification
  • Data entry proficiency
  • HIPAA compliance
  • Prior authorization processing
  • Appointment scheduling
  • Microsoft office
  • Effective communication skills
  • Teamwork
  • Customer service
  • Problem-solving
  • Attention to detail
  • Multitasking
  • Reliability
  • Team building
  • Time management abilities

Timeline

Diagnostic Authorization Specialist

Rocky Mountain Cancer Center
06.2022 - Current

Dental Insurance Coordinator

Crossroads Family Dentistry
01.2015 - 06.2022

Critical Care TEchnician

UC Health
08.2001 - 10.2004

Secretary

Widefield School District 3
08.1991 - 06.2001

No Degree - Phlebotomy

Phlebotomy Training Specialist

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Media Duggan