Anexia Maxie CPC
Summary
Results-driven professional with a strong work ethic and exceptional interpersonal skills. Demonstrates adaptability and the ability to thrive in unsupervised environments while mastering new skills rapidly. Committed to embracing new challenges to further enhance contributions and achieve organizational goals.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Infusion Specialist
OGI
Cordova, TN
08.2023 - 03.2024
- Worked remotely from home to obtain medical prior authorizations for various healthcare providers across the country
- Communicated effectively with healthcare providers, patients, and insurance companies via phone and email to gather all necessary information for prior authorization requests
- Utilized Eblu database to verify patient eligibility and submit prior authorization requests
- Maintained accurate records of prior authorization requests, approvals, and denials
- Successfully secured approvals for a high volume of prior authorization requests each day, meeting tight deadlines
- Exhibited strong time-management skills and ability to work independently
Infusion Intake Coordinator
GI ALLIANCE
Dallas, TX
10.2022 - 06.2023
- Obtain necessary medical prior authorizations from insurance companies for procedures, medications, and durable medical equipment
- Communicate with healthcare providers, patients, and insurance companies to gather all necessary information for prior authorizations
- Submit completed prior authorization requests to insurance companies within required timeframes
- Follow up on pending prior authorization requests and provide status updates to healthcare providers and patients
- Utilize medical databases and electronic healthcare record systems to verify patient eligibility and document prior authorization information
- Secured approvals for complex and high-risk cases by providing thorough documentation and supporting medical information
- Created and maintained records of prior authorization requests, approvals, and denials
- Consistently achieved high approval rates for prior authorization requests
- Assisted with training new employees on prior authorization processes and procedures
- Demonstrated strong attention to detail and accuracy in completing prior authorization paperwork
Pre-Service Specialist( Prior Authorization Specialist)
Ochsner Health System
Shreveport, LA
12.2019 - 09.2022
- Company Overview: remote
- Highly efficient Medical Office Administration with 3+ years of experience in a busy medical practice
- Proven track record of accurately verifying insurance eligibility, scheduling appointments, and managing referrals
- Proficient in Epic and skilled in entering patient demographics
- Experienced in managing multi-line phone systems and effectively routing calls
- Knowledgeable in Prior Authorization procedures for various healthcare coding systems
- Demonstrated ability to work remotely with minimal supervision and a strong team player
- Familiar with various health plans, including Commercial, Medicare, Medicaid, and Government plans
- Remote
Education
Associate's degree - Medical Unit Coordinator|Medical Office Specialist
Bossier Parish Community College
Bossier City, LA05.2019
Skills
- Proficient in Medical Vocabulary
- Clinical Administrative Experience
- Customer service
- Knowledge of HIPAA Regulations
- Healthcare Scheduling Management
- Clinical Coding Knowledge
- Medical collection
- Acute care
- Health information management
- EHR Software Proficiency
- Clinical Hospital Experience
- Effective Communication
- Ambulatory Surgery Management
- Prioritization Skills
Certification
Certified Professional Coder, 09/01/18, Present
Timeline
Infusion Specialist
OGI
08.2023 - 03.2024
Infusion Intake Coordinator
GI ALLIANCE
10.2022 - 06.2023
Pre-Service Specialist( Prior Authorization Specialist)
Ochsner Health System
12.2019 - 09.2022
Associate's degree - Medical Unit Coordinator|Medical Office Specialist
Bossier Parish Community College
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