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Title Medical Assistant Prior Authorization
Target Location US-NJ-West New York
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
PATERSON, NJPHONE NUMBER AVAILABLEEMAIL AVAILABLEProfessional Summary:Highly motivated and committed Medical Assistant with proven history of superior performance at individual, team and organizational levels. Multitasks and prioritizes workloads with little or no supervision. Detail-oriented professional looking to bring medical background and team-building skills to deadline-driven environment. Ready to help team achieve company goals. Enthusiastic and eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of and training Motivated to learn, grow and excel. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.SKILLS:Electronic health recordsEMR SystemsHIPAA GuidelinesComputer ProficiencyChecking Patient DetailsPRIOR AUTHORIZATIONREFERRALInsurance Verification/EligibilityKnowledge of ICD & CPTPast Due Balance ManagementMedical Records ManagementPatient SchedulingMulti-Line Telephone System OperationTelehealthVitals Collection and DocumentationMedical TerminologyOrganization and Time ManagementScheduling Tests and ProceduresPharmacy CorrespondenceADS BILLINGCertified Medical Assistant/ReceptionistJune 2008 -CurrentOffice manager (2008 to 2016 with Dr. Patels)GANJ- Woodland Park, NJCommunicated clearly and effectively with patients to verify information, determine purpose of visit and record medical history.Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.Taught patients about medications, procedures, and care plan instructions.Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed, Refills and send PrescriptionsPerformed medical records management, including filing, organizing and scanning documents.Verified patient insurance coverage and collected required co-payments.Reached out to insurance carriers to obtain prior authorization for testing and procedures.Researched denied claims and contacted insurance companies to resolve these issues.Responded to inquiries from healthcare providers regarding prior authorization requests.Scheduled appointments with applicants to gather information and explain benefits processes.Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.Prior authorization for medications and medical diagnostic procedure.Certified Medical Assistant :DR.LANEVE, BELLARDINI, PAVLOU AND KOSC PAWOODLAND PARK, NJAugust 2000  January 2006Completed clinical procedures and gathered patient data for interpretation by physician.Collected and documented patient medical information such as blood pressure and weight.Assisted with routine checks and diagnostic testing by collecting and processing specimens.Answered telephone calls to offer office information, answer questions, and direct calls to staff.Oriented and trained new staff on proper procedures and policies.Prepared lab specimens for diagnostic evaluation.Completed EKGs and other tests based on patient presentation in office.Medical Records, Refills, order labs and diagnostic procedures/tests.Referral and Authorizations.Education summaryCERTIFIED MEDICAL ASSISTANTFortis InstituteWayne, NJJune 2000High School DiplomaJFK High SchoolPaterson, NJJun 1998

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