Andrew Genovese
Queensbury,NY
Summary
To become part of a progressive growth oriented organization where my abilities and overall knowledge will be optimally utilized.
Overview
19
19
years of professional experience
Work History
Prior Authorization Specialist
Glens Falls Hospital
06.2022 - 05.2023
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Verified eligibility and compliance with authorization requirements for service providers.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
- Researched denied claims and contacted insurance companies to resolve these issues.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Developed and maintained productive working relationships with healthcare providers.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
Telemetry PCA
Glens Falls Hospital
10.2019 - 05.2023
- Helped patients maintain healthy skin by checking wounds, assessing integrity, and bathing bedbound individuals.
- Planned, prepared, and served meals and snacks according to prescribed diets.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Maximized patient satisfaction by helping individuals carry out personal tasks such as dressing and walking.
- Recorded temperature, blood pressure, pulse, or respiration rate as directed by medical or nursing staff.
- Answered patient assistance calls, assessed needs, and offered qualified support.
- Collected and transported specimens to prepare for lab testing.
- Organized and replenished unit supplies to maintain team readiness for expected demands.
- Obtained patient vital signs and reported results to staff nurse or physician, noting changes from prior measurements.
Patient Access Representative Emergency Department
Glens Falls Hospital
05.2018 - 10.2019
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Providing excellent customer service by promptly answering patient inquiries.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Trained new staff on hospital processes and procedures.
- Verified patient insurance eligibility and entered patient information into system.
- Greeted and assisted patients with check-in procedures.
- Provided excellent customer service to patients and medical staff.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
Owner/General Manager
Superior Cantina
01.2015 - 12.2017
- Managed day-to-day business operations.
- Consulted with customers to assess needs and propose optimal solutions.
- Trained and motivated employees to perform daily business functions.
- Evaluated suppliers to maintain cost controls and improve operations.
- Enhanced operational efficiency and productivity by managing budgets, accounts, and costs.
- Oversaw business budget planning and administration, accounting functions, purchasing, and bi-weekly payroll to handle financial needs.
- Developed and implemented marketing strategies to generate new customers and increase sales and profit margins.
Store Manager
RadioShack
05.2009 - 01.2015
- Managed inventory control, cash control, and store opening and closing procedures.
- Managed store employees successfully in fast-paced environment through proactive communication and positive feedback.
- Completed point of sale opening and closing procedures.
- Rotated merchandise and displays to feature new products and promotions.
- Maintained proper product levels and inventory controls for merchandise and organized backroom to facilitate effective ordering and stock rotation.
- Assisted with hiring, training and mentoring new staff members.
- Maximized sales and minimized shrinkage through excellent customer service and adherence to standard practices.
- Approved regular payroll submissions for employees.
- Set effective store schedules based on forecasted customer levels, individual employee knowledge, and service requirements.
- Coached sales associates in product specifications, sales incentives, and selling techniques, significantly increasing customer satisfaction ratings.
- Reconciled daily sales transactions to balance and log day-to-day revenue.
- Promoted team collaboration, performance, and efficiency by fostering healthy environments focused on mutual success.
- Supervised guests at front counter, answering questions regarding products.
- Trained new employees on proper protocols and customer service standards.
- Scheduled employees for shifts, taking into account customer traffic and employee strengths.
- Interacted well with customers to build connections and nurture relationships.
- Handled problematic customers and clients to assist lower-level employees and maintain excellent customer service.
Assistant General Manager
W Hotel
03.2004 - 01.2009
- Handled cash accurately and prepared deposits.
- Motivated, trained, and disciplined employees to maximize performance.
- Resolved problems promptly to elevate customer approval.
- Managed team schedule with eye for coverage needs and individual strengths.
- Trained new employees on proper protocols and customer service standards.
- Interacted well with customers to build connections and nurture relationships.
- Scheduled employees for shifts, taking into account customer traffic and employee strengths.
Education
Bachelor of Science - Hotel, Motel, And Restaurant Management
Northern Arizona University
Flagstaff, AZ05.2006
Skills
- Patient Identification
- Office Supplies and Inventory
- Health Insurance Plan Knowledge
- Diagnostic Codes
- Private Insurance
- Authorizations
- Retro-Authorizations
- Customer Relations
- Payroll Administration and Timekeeping
- Profit and Loss
- Mentoring
Timeline
Prior Authorization Specialist
Glens Falls Hospital
06.2022 - 05.2023
Telemetry PCA
Glens Falls Hospital
10.2019 - 05.2023
Patient Access Representative Emergency Department
Glens Falls Hospital
05.2018 - 10.2019
Owner/General Manager
Superior Cantina
01.2015 - 12.2017
Store Manager
RadioShack
05.2009 - 01.2015
Assistant General Manager
W Hotel
03.2004 - 01.2009
Bachelor of Science - Hotel, Motel, And Restaurant Management
Northern Arizona University