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Click here or scroll down to respond to this candidateCandidate's Name
Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLEPROFESSIONAL SUMMARYOrganized, experienced and focused medical professional. Seeking full time employment that will utilize my specialized skills gained through my certificate program in medical coding and billing, work experience and externship experience.EDUCATIONMercer County Community College, Lawrenceville, NJAssociate in Science. September 2024GPA:3.8Bucks County Community College, Newtown, PACertification in Medical Coding and Billing, May 2020GPA: 3.8; Deans List, Spring 2019Raritan Valley Community College, Somerville, NJMedical Assistant, 24 Credits Completed, 2010-2011Certified Pharmacy Tech 2012CERTIFICATIONS AND SKILLSKnowledge of Procedural and Diagnostic CodingPTCB CertificationRegistered Pharmacy TechnicianMedical assisting and phlebotomy experienceCPR/AED CertificationMade extensive progress on A/R and medical billing claimsPrepared authorizations for in office procedures and out of officeEXPERIENCEDoyalstown Hospital Physician Billing, Doyalstown, PAExtern, 120 hrsPrinceton Medical Group, Princeton, NJPre-Authorization Specialist July 22-Oct 23Completed authorizations for high costing oncology pre-meds and chemo drugs, as well as hematology, rheumatology, and gynecology medications.Informed doctors on medications and treatments that were not covered by insurance and aided with finding solutions.Improved the department on better ways to communicate with insurance companies.Spearheaded medication denials, appeals and reconsideration.Prioritized medication authorizations for patients with upcoming appointments by communicating closely with the nurses and doctors.Hunterdon Otolaryngology & Associates, Flemington, NJAR/ Authorizations Sept 21- June 22Set up authorizations for in and out of office proceduresPut together AR reports and worked on medical billingWorked closely with insurance companies to get claims paidReception, administration and schedulingExplained statements, claim issues, and insurance problems to patientsMercer Bucks Hematology Oncology, Pennington, NJBilling/AR Oct 19-April 21Prior Authorization for high-cost medications for cancer and/or blood diseasesProcessed insurance and verified benefits for patientsAnswered and explained insurance questions to patientsFollowed up with insurance for outstanding balances for claimsReception, administration, and schedulingCleveland Clinic Hospital, Weston, FLDischarge Medication Specialist, March 2014-July 2017Proactively identified high-cost, high-risk patient populations and resolved prescription benefit plan issues for provision of required medications. Documented a plan of action for clinical staff to resolve problems.Reviewed patients pharmacy of choice for discharge medication per information collected by Admissions. Reviewed the ability of the pharmacy chosen to provide medications needed at discharge considering common availability of drug and reimbursement issues.Verified take home medication insurance for patients prior to discharge and assisted with medication reimbursement/billing issues of discharge patients.CVS Pharmacy, Hollywood, FL and Hillsboro, NJRegistered Pharmacy Technician, 2007-2014Participated in re-certification modules.Entered prescription information and insurance coverage.Filled all medication in a timely manner.Counseled patients with insurance questions.Purchased necessary medications and durable medical equipment through the cardinal system. |
