Alyssa Diaczun
Madison,WI
Summary
Hardworking Medical Receptionist and Intake Coordinator with over 4 years of managing documentation, medical reception and clerical work. Detail-oriented performer with a successful background working closely with insurance company representatives and healthcare professionals to gain preapproval for procedures and testing. Equipped to handle fast-paced office operations with continuous flow of patients and assignments. Meticulous in completing assignments and always ready to help patients, team members, and supervisors. Considered a team player with exemplary multitasking skills and technical competency in electronic medical health records.
Overview
4
4
years of professional experience
Work History
Authorization Intake Coordinator
AmeriBen Medical Management
09.2021 - Current
- Provide customer service and clinical support to members and providers requesting precertification to coordinate and effectively process precertification requests
- Answer incoming calls, faxes, emails, and online submissions to assist in initiation of precertification requests including obtaining NPIs, TINs, ICD-10 codes, CPT codes for requests
- Request medical records for clinical updates via phone or fax to support medical necessity of prior authorization request to ensure timely turnaround time to comply with UM licensing requirements and accreditation standards
- Research specific insurance plan coverage to determine if prior authorization needed, if request is a covered benefit, or if request is a plan exclusion
- Answer an average of 40 calls per day
Front Desk Receptionist
Genesis Sports Medicine & Physical Therapy
01.2018 - 06.2020
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Coordinated patient scheduling, obtained medical records from referring providers, checked for insurance eligibility and benefits, and submitted prior authorizations if needed
- Maintained files and records by implementing effective filing systems that boosted efficiency and organization while adhering to strict HIPAA guidelines to protect patient privacy.
- Answered multi-line phone system, averaging 40 calls per day, to respond to inquiries and transfer calls to correct departments and personnel.
- Submit, document, and manage personal health information between clinic staff and primary care providers in timely, confidential manner
Education
CPC And CCS -
Absolute Medical Coding Institute
RemoteDoctorate of Physical Therapy - Physical Therapy
Nova Southeastern University
Davie, FL09.2021
No Degree - Anatomy and Physiology
Eastern Iowa Community College District
Davenport, IA05.2020
Bachelor of Arts - Biology And Psychology
Augustana College
Rock Island, IL05.2018
Skills
- Patient Eligibility and Benefits Requirements
- Patient Referrals and Appointment Scheduling
- Insurance Claims, Denials, and Prior-Authorizations
- Health Insurance Plan Knowledge
- EMR Systems and Computer Savvy
- Highly Proficient in Healthcare Terminology
- Multi-Line Phone Systems, Electronic Faxes, and Portals
- Medical Records and Documentation
- HIPAA Guidelines
- Organization and Time Management
- Teamwork and Collaboration
Accomplishments
- Awards: 6 Employee Recognition Awards at Genesis Health Systems and 4 Employee of the Month Nominations at AmeriBen Medical Management
- Certifications: CPR/First Aid, American Heart Association BLS, Mandatory Child and Elderly Abuse Reporter
Timeline
Authorization Intake Coordinator
AmeriBen Medical Management
09.2021 - Current
Front Desk Receptionist
Genesis Sports Medicine & Physical Therapy
01.2018 - 06.2020
CPC And CCS -
Absolute Medical Coding Institute
Doctorate of Physical Therapy - Physical Therapy
Nova Southeastern University
No Degree - Anatomy and Physiology
Eastern Iowa Community College District
Bachelor of Arts - Biology And Psychology
Augustana College