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Click here or scroll down to respond to this candidateCandidate's Name
Margate, FloridaPHONE NUMBER AVAILABLEEMAIL AVAILABLEObjective:To transition from a medical receptionist role to a Prior Authorization Specialist, I aim to utilize my healthcare background, administrative skills, and attention to detail. My objective is to efficiently secure pre-approval for patient treatments, ensuring seamless access to critical healthcare services without delay or financial burden. I am dedicated to maintaining patient privacy, adhering to regulations, and contributing to improved patient outcomes.Qualifications / Programs:Primary Care Insurance Verification Windows ProgramsGastroenterology Multi-Provider Office eClinical Works (ECW)Otolaryngology Referral / Authorization AthenaMedical Terminology Microsoft Office Programs CohereHIPAA Regulations Google / ChromeWork History:Gastro Health - Dr. Abitbol, Boca Raton, FLProcedure Scheduler (12/2022 5/2023)Managed patient scheduling for provider and ARNPCoordinated administrative tasks and patient check-outsProvided procedure preparation instructions and location detailsVerified patient information and requested necessary documentationProcessed payments and verified insurance benefitsObtained authorizations for procedures and diagnostic testingFlorida Digestive Health Specialists, Lakewood Ranch, FLProcedure Scheduler (3/2022 10/2022)Managed administrative tasks for multiple providers across two locationsCoordinated patient check-outs and procedure schedulingVerified insurance benefits and obtained authorizationsUpdated patient demographics and distributed documentationAssisted in creating and updating office documentsUniversity Family Healthcare, P.A., Lakewood Ranch, FLMedical Receptionist (6/2021 3/2022)Managed patient check-in/out and appointment confirmationsProcessed payments and maintained balanced drawersHandled incoming calls and faxesEnsured patient privacy and EHR accuracyDr. Joseph C. Millin, M.D., D.O, Sarasota, FLMedical Receptionist (11/2020 6/2021)Managed patient check-in/out and appointment schedulingVerified insurance and collected paymentsMaintained HEDIS requirementsProcessed required documentationGreenberg Dental & Orthodontics, Sarasota, FLSchedule Coordinator (1/2020 8/2020)Maintained essential documentation for multiple locationsSubmitted insurance authorizations and obtained EOBsManaged patient information in EHRProcessed payments and handled delinquent accountsMedix Staffing Solutions, Sarasota, FLPrior Authorization Specialist REMOTE (11/2019 12/2019)Performed insurance pre-authorizations and eligibility verificationsAnalyzed denials and submitted appealsManaged patient information and supporting documentationUtilized multiple EHR systems and remote access softwareMedix Staffing Solutions, Sarasota, FLPersonal Relations Rep II (7/2019 10/2019)Managed appointments and verified insuranceProcessed patient documentation and referralsCollected payments and managed patient accountsScheduled new patient proceduresMaxHealth Primary & Urgent Care, Sarasota, FLMedical Receptionist FLOAT (4/2019 7/2019)Maintained office procedures for multiple locationsManaged patient check-in/out and documentationScheduled appointments and handled patient inquiriesCoordinated with supervisors for location coverageCenter for Ear, Nose & Throat Dr. Ellen D. Silkes, Sarasota, FLMedical Receptionist / Assistant (11/2015 3/2019)Managed office operations and patient schedulingAssisted with patient care and exam room preparationProcessed insurance authorizations and medical recordsCoordinated follow-up care and specialized casesMaintained patient records and office suppliesFacilitated communication with healthcare providersEducation:Excel High School, Diploma (11/2023)Bryan University:Certified Clinical Medical Assistant Program (Expected 5/2024 - 3/2025)Associate of Arts in Allied Health Management (Expected 3/2025 - 12/2025)Certifications:Basic Life Support (BLS) Certification (6/2024)CPR/AED Certification (6/2024)References:Will provide upon request |
