Kristine Pfeffer
Parkers Prairie
Summary
Detail-oriented Insurance Authorization Specialist with proven skills in claim processing, insurance verification, and effective communication. Committed to optimizing workflows and enhancing patient experiences through proactive support. Results-driven professional specializing in authorization management and claims analysis. Recognized for attention to detail and proactive problem-solving, ready to leverage skills to enhance operational efficiency in a fast-paced insurance environment.
Overview
21
21
years of professional experience
Work History
Insurance Authorization Specialist
Vivie
Alexandria
03.2022 - 12.2025
- Processed insurance authorization requests for various medical services efficiently.
- Communicated with insurance companies to clarify coverage requirements and guidelines.
- Assisted patients in understanding their insurance benefits and authorization status.
- Collaborated with team members to streamline authorization processes and procedures.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Maintained up-to-date knowledge of all changes in insurance plans, regulations, and procedures.
- Developed and implemented strategies to enhance operational efficiency in the authorization process.
- Assisted billing department in resolving denied claims by providing necessary prior authorization documentation.
- Reviewed medical records to ensure accuracy of diagnosis codes prior to submitting claims.
- Verified insurance eligibility for patients and entered information into the system.
- Assisted in resolving any discrepancies between submitted claims and insurance requirements.
- Responded promptly to inquiries from healthcare providers regarding the status of authorizations.
- Managed daily workflow related to obtaining authorizations from various health plans including Medicare and Medicaid and commercial carriers.
Office Assistant/Reception Assistant
Henry's Foods Inc.
Alexandria
03.2015 - 03.2022
- Managed daily office operations and maintained organized filing systems.
- Processed incoming and outgoing correspondence efficiently.
- Communicated effectively with vendors and clients regarding orders and inquiries.
- Streamlined office procedures to enhance workflow efficiency.
- Collaborated with team members to facilitate project completion on time.
- Delivered comprehensive administrative support, including document management and supply ordering.
- Performed data entry tasks into various computer systems accurately and efficiently.
- Answered incoming calls in a professional manner and directed callers to the appropriate personnel.
- Organized files, developed spreadsheets, faxed reports and scanned documents to improve organizational workflow.
- Welcomed visitors, assessed needs, and directed them to appropriate personnel.
- Provided customer service, addressing inquiries and resolving issues promptly.
- Assisted in maintaining office supplies and inventory levels efficiently.
Receptionist
Central Lakes Orthodontics
Alexandria
06.2005 - 03.2015
- Greeted patients warmly upon arrival at the orthodontic office.
- Managed appointment scheduling using practice management software.
- Answered phone calls and addressed patient inquiries effectively.
- Organized patient records and maintained confidentiality standards.
- Assisted in preparing treatment rooms for patient visits.
- Processed patient payments and verified insurance information accurately.
- Ensured clean and welcoming reception area to enhance visitor experience.
- Answered incoming calls, took messages, and transferred calls to appropriate departments or personnel.
- Scheduled and confirmed appointments.
- Greeted visitors and provided them with assistance.
- Delivered exceptional customer service while interacting with internal and external customers.
- Scheduled appointments for clients, customers, and other visitors.
- Maintained a neat reception area by organizing materials and tidying up furniture.
- Updated and recorded customer or client information to maintain accounts.
- Performed data entry tasks into various computer systems accurately and promptly.
- Provided administrative support to staff members including typing letters, filing documents, and scanning and copying documents when necessary.
- Maintained daily calendars, set appointments with clients and planned daily office events.
- Coordinated incoming mail distribution, courier services, faxes, and photocopying to support office operations.
- Processed payments and updated accounts to reflect balance changes.
- Sorted incoming mail and directed to correct personnel each day.
- Performed clerical duties such as filing, photocopying, transcribing, and faxing.
Education
High School Diploma -
Brandon Secondary
Brandon, MN05-1994
Skills
- Insurance verification
- Claim processing
- Authorization management
- Claims analysis
- Regulatory compliance
- Data accuracy
- Workflow optimization
- Problem solving
- Issue escalation
- Stakeholder engagement
- Time management
- Attention to detail
- Effective communication
- Strong communication skills
- Team collaboration
- Professionalism and ethics
- Critical listening
Timeline
Insurance Authorization Specialist
Vivie
03.2022 - 12.2025
Office Assistant/Reception Assistant
Henry's Foods Inc.
03.2015 - 03.2022
Receptionist
Central Lakes Orthodontics
06.2005 - 03.2015
High School Diploma -
Brandon Secondary