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| | Click here or scroll down to respond to this candidateCandidate's Name , CMAEMAIL AVAILABLEStreet Address PHONE NUMBER AVAILABLECertified Medical Assistant with ten (10) years of experience in family medical practice along with additional healthcare skills.Detailed educational knowledge and core skills include:Outstanding communication skills, i.e., written and oralAbility to work independently and meet deadlinesVital signs and filing chartsSurgical Tray Set-Up skillsKnowledge of medical terminology i.e., THPPP/Epic EMRSkilled organizer and problem solver, i.e., troubleshooting, with the ability to consider all options before making a decisionKnowledge with standard policies and procedures, computer skills, companies code of business conduct and ethics with the state lawsEducational BackgroundEssex County College Newark, New Jersey05/2011Registered Nurse (RN)Sanford Brown Institute Iselin, New Jersey05/1999Certification: Medical AssistantProfessional ExperienceATLANTIC HEALTH SYSTEM 11/2012 - Present Summit, New JerseyPrior Authorization SpecialistManage correspondence with insurance companies, physicians and patients as requiredProcess referrals and submit clinical supporting documentation to insurance carriers to expedite priorauthorizationAssist with medical necessity documentation to expedite approvals and ensure that appropriate follow-upis performedConsult with supervisor or pharmacist to obtain clearance that treatment regimen is appropriateLook through denials and submit appeals if requested for approvalProactively work on prior authorizations that are due to be expiredFront End Representative/Clerical 06/2004 - 11/2012Greeted and registered patients, referrals and pre-authorizations,Obtained and managed insurance documents, archive medical records, manage telephones on adaily basis, and collect and post co-payments and balances, maintain deposits and cash drawers,oversee office suppliesSUMMIT MEDICAL GROUP 05/1999 - 06/2004 Summit, New JerseyMedical AssistantGreeted, informed and educated patientsCollected patients medical history and recorded vital signsPerformed general laboratory tests, examinations and completed insurance formsScheduled appointments; Prepared and dispensed medications |