Summary
Overview
Work History
Education
Skills
Timeline
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Sara McGinley

Indianapolis

Summary

Driven Utilization Review Coordinator equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Demonstrated success in conducting prior authorization reviews for Indiana Medicaid and various commercial insurance carriers. Recognized for reliability, adaptability, and quick acquisition of new skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.

Overview

4
4
years of professional experience

Work History

Utilization Review Coordinator

Hickory Recovery Network
02.2023 - 07.2025
  • Increased efficiency of the utilization review process through regular communication with insurance companies for timely authorizations.
  • Maintained confidentiality and security of patient data, adhering to all relevant privacy laws and regulations.
  • Established and maintained positive relationships with facility staff and communicated with them daily regarding necessary documentation required to request authorization from insurance companies.
  • Managed a high volume of cases efficiently by prioritizing tasks and maintaining strict deadlines for completion of reviews.
  • Obtained authorizations from multiple insurance carriers for various levels of care.
  • Prepared and submitted prior authorization denial appeals to various insurance companies.
  • Assisted the UR manager in training all new staff as they were hired, ensuring they were equipped with all necessary tools, resources, and knowledge to submit prior authorizations to insurance companies.

Patient Engagement Specialist

Recovery Centers of America
12.2021 - 11.2022
  • Facilitated communication between patients and various departments and staff.
  • Participated in multidisciplinary meetings focused on providing comprehensive assistance.
  • Supported clients struggling with addiction or relationship issues and devised strategies based on patient needs and utilized motivational interviewing to assist patients on their path to change.
  • Implemented family engagement for patient support.
  • Formulated creative and effective ways to engage patients in the treatment process.
  • Led supportive group discussions and education sessions with patients suffering from substance use disorder and documented individual progress notes for patient contact.
  • Resolved problems and escalated high-level issues to senior leadership.

Behavioral Health Technician

Evolve Indy
02.2021 - 12.2021
  • Built and maintained positive staff relationships to promote teamwork and better serve clients.
  • Completed documentation for every incident and forwarded to correct personnel for review and prepared and submitted daily shift reports to management.
  • Facilitated on-site activities, support groups and outings for clients.
  • Performed client intake procedures according to internal standards for new admissions.
  • Treated clients and families with respect and dignity.
  • Mentored clients on substance use and life choices.
  • Assisted with new hire employee training.

Education

High School Diploma -

Ben Davis High School
05.2021

Skills

  • HIPAA Compliant
  • Critical Thinking and Solution Focused
  • Insurance verification
  • Interpersonal and written communication
  • Utilization review
  • Indiana Medicaid
  • Communication
  • Teamwork
  • Time management
  • Attention to detail
  • Multitasking Abilities
  • Reliability

Timeline

Utilization Review Coordinator

Hickory Recovery Network
02.2023 - 07.2025

Patient Engagement Specialist

Recovery Centers of America
12.2021 - 11.2022

Behavioral Health Technician

Evolve Indy
02.2021 - 12.2021

High School Diploma -

Ben Davis High School

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Sara McGinley