Anthonya Smith
Syracuse,NY
Summary
Organized professional knowledgeable in regulatory standards and compliance requirements. Confident Prior Authorization Specialist/ Medical Assistant with a background spent working in medical offices. Detail-oriented performer with over 10 years of managing documentation. Considered team player with exemplary multitasking skills.
Overview
13
13
years of professional experience
Work History
Prior Authorization Specialist
Crouse Medical Practice
03.2022 - Current
- Input all patient data regarding claims and prior authorizations into system accurately.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- 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.
- Tracked referral submission during facilitation of prior authorization issuance.
Medical Assistant
Crouse Medical Practice
04.2018 - Current
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Obtained client medical history, medication information, symptoms, and allergies.
- Performed medical records management, including filing, organizing and scanning documents.
- Collected and documented patient medical information such as blood pressure and weight.
- Documented vital signs and health history for patients in clinic and hospital environments.
Medical Assistant
Podiatry Services Of CNY
03.2016 - 04.2018
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Verified patient insurance coverage and collected required co-payments.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Collected and documented patient medical information such as blood pressure and weight.
Insurance Customer Service Representative
Comforce Temp Agency/ Lifetime Benefits Solution
02.2016 - 03.2016
- Handled customer inquiries and suggestions courteously and professionally.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Answered constant flow of customer calls with minimal wait times.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Updated account information to maintain customer records.
Patient Access Representative
Comforce Agency/ Syracuse Community Health Center
11.2014 - 09.2015
- 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.
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- 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.
- Answered incoming calls, scheduled appointments and filed medical records.
- Trained new staff on filing, phone etiquette and other office duties.
Home Health Aide
Varied Employers
03.2011 - 09.2013
- Assisted patients with dressing, grooming and feeding needs, helping to overcome, and adapt to mobility restrictions.
- Performed laundry, grocery shopping and other light housekeeping duties as instructed by client.
- Traveled to clients' homes to complete healthcare services and promote continuity of care.
- Provided mobility assistance such as walking and regular exercising.
- Completed entries in log books, journals, and care plans to accurately document and report patient progress.
- Assisted disabled clients to support independence and well-being.
- Reported unusual or urgent circumstances in patients' condition or environment immediately to nurse supervisor.
- Encouraged patients to participate in safe physical activity to help boost mood and improve overall wellness.
- Developed rapport to create safe and trusting environment for care.
- Provided transportation and appointments management.
- Monitored changes in clients' conditions to report concerns to supervisor.
- Assisted clients with living independently through skill-building and mentoring in areas such as housekeeping adaptations and preparation of healthy meals.
Education
Medical Assistant Certification - Medical Assisting
Onondaga-Cortland-Madison BOCES
Liverpool, NY02.2014
High School Diploma -
Corcoran Highschool
Syracuse, NY06.2006
Skills
- Medical Terminology
- Clinical Messaging
- Outpatient Procedures
- Referral Tracking
- Demographics Information
- Reminder Calls
- Office Supplies and Inventory
- Electronic Health Records Systems
- Infection Control Procedures
- Patient Scheduling
- Health Insurance Plan Knowledge
- Data Entry
Timeline
Prior Authorization Specialist
Crouse Medical Practice
03.2022 - Current
Medical Assistant
Crouse Medical Practice
04.2018 - Current
Medical Assistant
Podiatry Services Of CNY
03.2016 - 04.2018
Insurance Customer Service Representative
Comforce Temp Agency/ Lifetime Benefits Solution
02.2016 - 03.2016
Patient Access Representative
Comforce Agency/ Syracuse Community Health Center
11.2014 - 09.2015
Home Health Aide
Varied Employers
03.2011 - 09.2013
Medical Assistant Certification - Medical Assisting
Onondaga-Cortland-Madison BOCES
High School Diploma -
Corcoran Highschool
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