ALISHA THOMSON

* Managed clinical data for prior authorization request and patient referrals ensuring efficient processing and follow-up. Served as the primary point of contact for healthcare providers, addressing inquiries regarding updates and changes to , referrals, prior authorizations, and clinical information.

• Processed all provider requests via phone and fax to create new prior authorizations and referrals and update approved and pending referrals and prior authorizations, changes to date of service, place of service, add or removal of CPT codes.

* Collaborated with healthcare providers to ensure accurate and timely completion of patient intake forms and documentation.

* Maintained strict confidentiality of sensitive patient information in accordance with HIPAA regulations.

* Actively participated in team meetings to discuss best practices and identify areas for improvement in the clinical intake process.

* Answered phones and questions for healthcare providers regarding eligibility, referrals, prior authorizations, and clinical information. Approved prior authorizations and referrals for facilities while working remotely.

* Provided prior authorization requirements to healthcare providers and patients, ensuring clarity and understanding of the process. Assisted in the coordination of care between multiple healthcare professionals.

* Collaborated with healthcare providers to ensure accurate and timely completion of patient intake forms and documentation. Reviewed faxed clinical documents for discrepancies, ensuring accuracy and completeness of patient information.

• Managed front desk operations, including greeting patients, scheduling appointments, and answering phone calls.
• Filed and maintained patient records in accordance with HIPAA regulations.
• Scheduled laboratory tests, radiology exams, and specialist appointments. Utilized EPIC to schedule appointments and verified patient insurance information and collected co-pays and payments.
• Effectively communicated with healthcare providers to ensure timely delivery of test results and reports to patients.
• Provided exceptional customer service to patients, answering questions and addressing concerns.
• Stayed calm under pressure to and successfully dealt with difficult situations.

• Performed all administrative duties for the PFT Lab, ensuring smooth operation in the department manager's absence.
• Managed and distributed classified information, maintained electronic medical records, and handled correspondence.
• Assisted with daily operational clinic functions, including scheduling appointments, ordering supplies, and answering phones.
• Utilized EPIC Systems to schedule patient appointments, enter patient data, and manage health insurance coverage.
• Performed duties with intermediate to advanced proficiency in administrative skills, acting as a super user for scheduling, registration, and billing systems.
• Provided training and assistance to other staff members in these areas
• Delivered excellent patient experiences and direct care.
• Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
• Facilitated communication between patients and various departments and staff.

• Welcomed residents, families and visitors. Served as first point of contact on phone and when residents and visitors entered or called facility. Assisted with medical emergencies.
• Monitored residents and visitors access and maintained visitor logs, and resident attendence logs to ensure safety and compliance with security protocols.
• Assisted nurses with administrative duties, such as sign in and directed visitors, organized and maintained medical records. Adhered to strict HIPAA guidelines to protect patient privacy.
• Placed new supply orders, managed inventory and restocked clerical spaces.Received and signed for arriving packages and distributed mail.
• Performed various administrative tasks by filing, copying and faxing documents. Answered multi-line phone system, screened and directed calls, obtained messages, and provided information when appropriate.
• Assisted with resident admissions and discharges, ensuring all necessary paperwork is completed accurately. Insurance information and mandated forms updated. Maintained and updated filing, inventory, mailing, and database.
• Offer assistance with resident inquiries and requests, directing them to appropriate staff members when necessary

• Initiated patient medical records by creating and processing patient care record folder with patient demographics and medical history information.
• Pulled patient charts for physicians to prepare physicians for appointments.
• Maintained patient confidence by keeping patient records information confidential.
• Performed general office duties such as faxing and scanning documents and sorting incoming and outgoing mail to improve overall office productivity.
• Delivered charts to assigned areas of hospital by following established routing procedures.
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• Supported medical staff by providing organized and accurate medical records.
• Scanned medical records in digital format for easy retrieval and accessibility.
• Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.