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