Kathleen Grant
Columbia,MO
Summary
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.
Overview
18
18
years of professional experience
Work History
Patient Access Authorization Specialist
Boone Health
05.2026 - Current
- Processed insurance authorizations for patient procedures, ensuring timely approvals and compliance with regulations.
- Coordinated communication between clinical staff and insurance providers to resolve authorization issues efficiently.
- Reviewed and verified documentation for accuracy, enhancing overall authorization process efficiency.
- Developed training materials for new staff on authorization workflows and best practices.
- Analyzed trends in authorization denials to identify areas for process improvement and risk mitigation.
- Implemented strategies to streamline authorization processes, reducing turnaround times significantly.
Senior Prior Authorization Specialist
Missouri Heart Center
03.2023 - 05.2026
- Obtained outpatient authorizations for 18 physicians using online portals
- Provided clinical information to insurance companies
- Filled appeals for denials issued
- Demonstrated extensive knowledge of ICD-10 and CPT codes
- Conducted thorough research on insurance policies and procedures
- Collaborated with physicians to ensure accurate and timely authorization processes
- Educated staff on prior authorization procedures, enhancing overall workflow efficiency.
- Analyzed prior authorization requests to ensure compliance with established guidelines.
Claims Agent
Club Car Wash
08.2022 - 03.2023
- Reviewed and investigated property claims filed with the company
- Negotiated settlements with body shops across several states
- Established new accounts with body shops, negotiating rates to benefit the company
- Assisted customers with their needs and concerns
- Conducted thorough research on claims to ensure accuracy and efficiency
- Collaborated with team members to streamline claims process and improve customer satisfaction
Patient Access Supervisor
Boone Health
04.2022 - 08.2022
- Oversaw and directed daily operations of Patient Access staff to ensure superior service delivery to all patients
- Managed hiring, training, work assignments, performance evaluations, and professional development plans for staff
- Aligned team productivity and actions with department goals to support overall operational objectives
- Implemented changes to enhance patient satisfaction, accuracy, and efficiency within Patient Access and Revenue Cycle
- Analyzed data and managed team performance to drive improvements in outcomes
- Led team in achieving departmental operational goals and objectives
Patient Access Specialist
Boone Health
02.2019 - 04.2022
- Collaborated in the development of the OBO authorization department
- Obtained authorizations for multiple physician offices
- Maintained professional relationships with physician office staff
- Contacted insurance carriers to obtain authorizations, notifications, and pre-certifications for patients
- Provided accurate information to all parties through effective communication skills
- Notified ordering providers of denied authorizations
- Applied knowledge of Medicare, Medicaid, and third-party payer requirements to verify patient coverage and policy limitations
Owner/Vice President
Grant Heating & Air
03.2008 - 02.2019
- Led a team to improve productivity, efficiency, and cost savings
- Developed and implemented effective business strategies and procedures to enhance operational performance
- Identified and addressed client business needs by determining appropriate resources and strategies
- Ensured accurate financial reporting by analyzing and summarizing account information
- Managed payroll processing, electronic deposits, pay adjustments, and check distribution
- Oversaw invoice processing, cash log maintenance, and daily deposits
Education
Bachelor of Science - General Studies
Columbia College
Columbia, MO12-2005
Skills
- Meditech
- ICD 10 Codes
- CPT Codes
- Microsoft office
- Medical terminology expertise
- Insurance verification
- HIPAA compliance
- Prior authorization processing
Timeline
Patient Access Authorization Specialist
Boone Health
05.2026 - Current
Senior Prior Authorization Specialist
Missouri Heart Center
03.2023 - 05.2026
Claims Agent
Club Car Wash
08.2022 - 03.2023
Patient Access Supervisor
Boone Health
04.2022 - 08.2022
Patient Access Specialist
Boone Health
02.2019 - 04.2022
Owner/Vice President
Grant Heating & Air
03.2008 - 02.2019
Bachelor of Science - General Studies
Columbia College