Karen Daigneault
Omaha
Summary
I have recently moved to Omaha after 9 years in Florida. I have been employed doing insurance authorizations and many other medical office tasks. My primary focus was on imaging authorizations but I have also done complete medical authorizations and referrals including medications and surgery authorization.
I am highly motivated and patient care oriented. I have a background of over 30 years of medical caregiving, staffing, working with insurance companies and doing authorizations and referrals.
Overview
14
14
years of professional experience
Work History
Insurance Specialist
Coastal Orthopedics And Sports Medicine
08.2022 - 01.2025
- Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.
- Processed eligibility and benefits verification and authorization requests.
- Followed up on denials, late payments, extensions and other special circumstances.
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Communicated effectively with members of operations, finance, and clinical departments.
Authorization Specialist
Choice Diagnostic Imaging
02.2018 - 05.2022
- Obtained insurance authorizations by computer and phone
- Assisted patients with insurance information
- Gathered clinicals and also spoke with nurses and doctors to give verbal clinicals to obtain authorizations
- I also assisted doctors offices in what their patients needed to meet clinical criteria
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Assisted in training new team members on company policies and procedures for handling authorization requests.
Authorization Specialist
21st Century Oncology
01.2016 - 01.2018
- Front desk and greeting and checking in patients
- Check out of patients
- Insurance authorizations
- Medical records
- Scheduling
Store Support Manager
Catholic Charities
03.2014 - 12.2015
- Maintained retail store presentation by overseeing merchandise replenishment, customer courtesy and inquiry response
- Store opening and closing
- Pricing items
- Managing cashier monies
- Accurately managed shipment processing, providing direction to associates and overseeing inventory activities
Medical Temp Worker
Medix Staffing
02.2011 - 02.2015
- Registered patients and scheduled appointments
- Assisted with referrals and prepared medical records for patients
- Maintained confidentiality of records relating to clients' treatment
- Scheduled appointments for patients via phone and in person
- Communicated with patients to resolve inquiries, schedule appointments and address billing questions
Education
High School Diploma -
Messalonskee High School
Oakland, MECna - CNA Certified
Waterville Adult Education
Waterville, MECertification - Certification in Computer Help Desk
Kennebec Valley Technical College
Fairfield, MESkills
- Documentation skills
- Policy analysis
- Regulatory compliance
- Reporting skills
- Attention to detail
- Patient confidentiality
- HIPAA compliance
- Insurance coverage verification
- Eligibility determination
- Data entry proficiency
- Coverage and authorizations
Timeline
Insurance Specialist
Coastal Orthopedics And Sports Medicine
08.2022 - 01.2025
Authorization Specialist
Choice Diagnostic Imaging
02.2018 - 05.2022
Authorization Specialist
21st Century Oncology
01.2016 - 01.2018
Store Support Manager
Catholic Charities
03.2014 - 12.2015
Medical Temp Worker
Medix Staffing
02.2011 - 02.2015
High School Diploma -
Messalonskee High School
Cna - CNA Certified
Waterville Adult Education
Certification - Certification in Computer Help Desk
Kennebec Valley Technical College
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