Summary
Overview
Work History
Skills
Timeline
Generic

Kristi Coffin

Eden Prairie

Summary

Experienced Prior Authorization Coordinator with a focus on authorization management and adherence to HIPAA regulations. Successfully improved patient satisfaction by streamlining prior authorization processes and ensuring accurate documentation. Proficient in problem-solving and enhancing operational workflows through effective communication and analytical skills.

Overview

29
29
years of professional experience

Work History

Prior Authorization Coordinator

Advancements in Allergy and Asthma Care
12.2016 - 08.2025
  • Collaborated with healthcare providers to gather necessary clinical information.
  • Maintained organized records of authorization decisions and communications.
  • Assisted in processing prior authorization requests, ensuring adherence to guidelines.
  • Supported documentation review for accuracy and completeness of patient information.
  • Learned electronic health record systems for tracking authorization statuses effectively.
  • Contributed to team meetings, sharing insights on process improvements and efficiencies.
  • Responded promptly to inquiries regarding authorization requirements and procedures.
  • Adapted quickly to changes in policies and procedures related to prior authorizations.
  • Improved patient satisfaction by efficiently managing prior authorization requests and ensuring timely approvals.
  • Reduced errors in documentation by meticulously reviewing medical records and verifying patient information.
  • Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
  • Verified eligibility and compliance with authorization requirements for service providers.
  • Fielded telephone inquiries on authorization details from plan members and medical staff.
  • Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
  • Ensured compliance with state and federal regulations through diligent monitoring of prior authorization processes.
  • Demonstrated exceptional problem-solving skills, addressing challenges related to patient care coordination and insurance requirements with a solutions-oriented mindset.
  • Maintained the confidentiality of sensitive patient information, adhering strictly to HIPAA regulations and safeguarding medical records appropriately.
  • Provided empathetic support for patients navigating complex medical systems, offering guidance and assistance throughout the prior authorization process.
  • Optimized turnaround times for prior authorization requests, collaborating closely with physicians and clinical staff to expedite necessary treatments.
  • Saved patients time and frustration by proactively resolving any issues or discrepancies in their medication coverage.
  • Contributed to improved patient outcomes by staying current on industry trends and changes in regulatory standards related to prescription drug coverage policies.
  • Mitigated risk of denied claims by conducting thorough research on individual policy guidelines before submitting requests.
  • Exhibited strong attention to detail when evaluating eligibility criteria for medication coverage, minimizing instances of inappropriate denials or delays in treatment access.
  • Analyzed medical records and other documents to determine approval of requests for authorization.
  • Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
  • Responded to inquiries from healthcare providers regarding prior authorization requests.
  • Researched denied claims and contacted insurance companies to resolve these issues.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Performed various administrative tasks by filing, copying and faxing documents.
  • Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
  • Answered phone calls and messages for Number-physician Type medical facility, scheduling appointments, and handling patient inquiries.

Patient Care Coordinator

Physicians Diagnostics and Rehabilitation
06.2014 - 12.2016
  • Coordinated patient appointments, ensuring efficient scheduling and minimizing wait times.
  • Managed patient communication, addressing inquiries and providing information on services and procedures.
  • Assisted in processing insurance claims, verifying patient eligibility and coverage for services rendered.
  • Collaborated with healthcare providers to streamline patient care plans and improve service delivery.
  • Maintained accurate patient records, ensuring compliance with HIPAA regulations and company policies.
  • Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
  • Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.
  • Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
  • Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
  • Delivered excellent patient experiences and direct care.

Medical Transcription Supervisor

ExamWorks
05.1996 - 07.2014
  • Supervised transcription team, ensuring adherence to quality standards and deadlines.
  • Implemented process improvements that enhanced workflow efficiency and accuracy.
  • Mentored junior staff, providing training on transcription techniques and software usage.
  • Collaborated with management to develop strategies for improving transcription turnaround time.
  • Conducted regular audits of transcriptions to maintain high-quality output and compliance standards.
  • Contributed to company growth by consistently meeting or exceeding departmental goals for productivity, accuracy, and client satisfaction.
  • Coordinated with external vendors for equipment maintenance or upgrades as needed to ensure optimal functionality at all times.
  • Implemented quality control measures to minimize errors and maintain high standards in all transcriptions produced by the team.
  • Enhanced transcription quality by implementing rigorous proofreading and editing processes.
  • Promoted a positive work environment by providing constructive feedback, recognition, and support to team members.
  • Applied medical terminology related to provider-specific treatments and techniques.
  • Demonstrated excellent skills to understand diverse accents and dialects.
  • Corrected grammar, spelling, and syntax mistakes in medical records.
  • Followed all HIPAA rules and regulations regarding patient confidentiality.
  • Referred to variety of medical sources to prevent mistakes in medical terms.

Skills

  • Authorization management
  • Benefit coverage analysis
  • HIPAA compliance
  • Organizational skills
  • Patient scheduling
  • Medical terminology
  • Data entry proficiency
  • Healthcare knowledge
  • Documentation expertise
  • Pharmacology and prescription coordination
  • Physician order verification
  • Effective communication
  • Critical thinking
  • Insurance procedures
  • Workflow management
  • Provider relations
  • Records maintenance
  • Issue research and problem-solving
  • Precertification requirements
  • Customer service and support
  • Attention to detail
  • Multitasking and reliability
  • Benefit coverage
  • HIPAA compliance

Timeline

Prior Authorization Coordinator

Advancements in Allergy and Asthma Care
12.2016 - 08.2025

Patient Care Coordinator

Physicians Diagnostics and Rehabilitation
06.2014 - 12.2016

Medical Transcription Supervisor

ExamWorks
05.1996 - 07.2014

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Kristi Coffin