Sherkera Lynch

• Managed client interactions and tracked policy updates using CRM software.
• Explained coverage options to potential policyholders while addressing questions and concerns.
• Prepared necessary documents including applications, endorsements, renewals, and cancellations.
• Participated in continuing education courses to remain knowledgeable on industry trends and regulations.

• Coordinated program logistics to ensure seamless execution of events and activities.
• Managed communication between stakeholders to enhance project alignment and updates.
• Maintained records and documentation to support program compliance and reporting needs.
• Oversaw daily operations, ensuring strict adherence to applicable policies and regulations.

Coordinated utilization review processes to enhance patient care management efficiency.

• Reviewed clinical documentation for adherence to established medical guidelines.
• Collaborated with healthcare teams to optimize resource allocation and develop effective care plans.
• Monitored authorization requests utilizing electronic health record systems for accurate tracking.
• Conducted audits of case files, identifying opportunities for process improvements.

• Reviewed prior authorization requests for medical services and procedures to ensure compliance.
• Coordinated with healthcare providers to collect essential documentation for evaluations.
• Analyzed patient information to assess eligibility for various healthcare services.
• Communicated with insurance companies to clarify authorization decisions and resolve issues.
• Maintained precise records of authorization requests and their outcomes to support audits.

• Resolved customer inquiries and issues promptly to enhance satisfaction.
• Managed high call volumes while maintaining professionalism and empathy.
• Utilized company software to track interactions and gather feedback.
• Collaborated with team members to improve customer service processes.