Summary
Overview
Work History
Education
Skills
Timeline
Generic

Lauren Canary

Prescott Valley

Summary

Clearance Specialist with experience working with insurance companies to get patient eligibility, benefits, and submitting for prior authorization for infusion therapies. Background working in Home Infusion and Outpatient Infusion Centers [On-Campus Hospital & facility] for all of Phoenix area, northern Arizona, and southern Nevada. Communication with patients, insurance representatives, and physician offices. Managing multiple referral sources to communicate with hospital case managers. Knowledge of ICD 10 codes and HCPCs for intake and prior authorization requests. Experience with government, Medicare, Medicaid, and Commercial insurance payers.

Overview

18
18
years of professional experience

Work History

Clearance Specialist

Soleo Health
03.2023 - Current
  • Started out working acute referrals before transferring over to specialty referrals.
  • Collaborated with team members to achieve shared goals and maintain a high level of productivity within the department.
  • Entered detailed notes outlining progress throughout the clearance application process, keeping all relevant parties informed.
  • Efficiently managed a high volume of patient referrals simultaneously while maintaining attention to detail and accuracy.
  • Coordinated with multiple departments for prompt information gathering and authorization, expediting the clearance process.
  • Reduced errors in patient data entry with thorough processes and attention to detail.
  • Contributed to a positive work environment through effective teamwork and open communication among colleagues.
  • Trained new staff members on intake procedures, contributing to a well-prepared team.

Intake Coordinator & Authorization Specialist

Amerita Inc
03.2021 - Current
  • Assessed patients' needs and determined eligibility for intake services.
  • Liaised between patients and healthcare providers to maintain continuity of care.
  • Collected, verified, recorded and processed patient demographics, insurance, and referral information.
  • Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
  • Coded and abstracted medical records according to ICD-10-CM and CPT coding guidelines.
  • Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
  • Compiled and maintained patient medical records to keep information complete and up-to-date.
  • Responded to inquiries from healthcare providers regarding prior authorization requests.
  • Tracked referral submission during facilitation of prior authorization issuance.
  • Built relationships with community agencies for timely service referrals.

Customer Accounts Representative

Town Of Prescott Valley
08.2017 - 03.2021
  • Processed client payments and updated accounts.
  • Responded to customer inquiries and provided detailed account information.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Maintained accurate records of customer accounts, payments and payment plans.
  • Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
  • Educated customers about billing, payment processing and support policies and procedures.

Visual Merchandising Supervisor

Kohls Department Store
08.2007 - 08.2017
  • Managed installation of visual merchandising displays.
  • Worked with store managers to implement new displays, promotions and store layout changes.
  • Researched current trends in visual merchandising to create modern and attractive displays.
  • Supervised and trained team of merchandising associates.
  • Monitored and replenished display inventory and restructured according to available stock.
  • Enhanced overall store appearance by applying careful consideration to product and display locations.
  • Monitored store traffic and customer engagement to determine display effectiveness.

Education

High School Diploma -

Moorpark High School
Moorpark, CA

General Education

Moorpark College
Moorpark, CA

Global Security & Intelligence Studies

Embry-Riddle Aeronautical University
Prescott, AZ

CNA License - Certified Nursing Assistant

Yavapai Healthcare Academy
05.2012

Skills

    Patient Intakes and Assessments

    Online Referral Systems [Navi/CuraSpan, CarePort, Strata, EnsoCare, Mayo Carelink, AllScripts, Homelink]

    Online Provider Portals [Eligibility and Authorization]

    Electronic Medical Records System [Citrix, CPR]

    Benefit Verifications

    Medical/Healthcare Terminology Knowledge

    Health Insurance Plan Knowledge

    Determine Medical Necessity

    Obtaining Authorizations & Re-authorizations

    HIPAA Regulations

    Diagnostic Codes [ICD 10]

    Effective Communication Skills

    Coordination & Communication with Patients, Pharmacy, Sales team, Nurses, Physicians, Hospitals, and Home Health Agencies

    Supervisory Experience

Timeline

Clearance Specialist

Soleo Health
03.2023 - Current

Intake Coordinator & Authorization Specialist

Amerita Inc
03.2021 - Current

Customer Accounts Representative

Town Of Prescott Valley
08.2017 - 03.2021

Visual Merchandising Supervisor

Kohls Department Store
08.2007 - 08.2017

High School Diploma -

Moorpark High School

General Education

Moorpark College

CNA License - Certified Nursing Assistant

Yavapai Healthcare Academy

Global Security & Intelligence Studies

Embry-Riddle Aeronautical University

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Lauren Canary