Assata Smith
Charlotte,NC
Summary
I am a detail oriented and goal driven. I loves to be challenged. I strive to impact others. My goal is to seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
10
10
years of professional experience
Work History
Clinical Documentation Specialist
Nuance- Cognizant
09.2021 - Current
- My role is to complete patient clinical notes for billing purposes
- I analyze, summarize, and edit patient encounters
- Reduce documentation preparation time by 75% or more
- Utilize EMR systems to complete patient clinical records.
- Served as a resource for healthcare professionals seeking guidance on various aspects of clinical documentation, fostering effective communication among team members.
- Effectively managed multiple priorities while maintaining strict adherence to established deadlines, ensuring the consistent delivery of exceptional clinical documentation services.
- Maintained strong knowledge of medical terminology, diseases and conditions and procedures.
- Communicated with physicians, nurses and other caregivers to explain importance of accurate and clear documentation.
- Managed electronic clinical documentation and uploaded changes or updates using Epic.
Pharmacy Patient Advocate
Express Scripts
09.2020 - 09.2021
- My role was to assist patients with their pharmacy benefits and assist them with navigating pharmacy benefit coverage and services
- Assisted with general claim inquiries
- Submitted pharmacy appeal documentation
- Assisted with prior approval request.
- Enhanced patient satisfaction by addressing concerns and providing information on healthcare rights and options.
- Assisted patients in navigating complex insurance processes, leading to successful claim resolutions and reduced financial burdens.
- Provided emotional support to patients and families during challenging medical situations, fostering trust and rapport.
- Educated patients on available resources and community programs, increasing their access to needed services.
- Liaised between patients and medical staff, facilitating effective communication of needs, preferences, and treatment plans.
Prior Authorization Clinical Specialist
Prime Therapeutics
09.2018 - 09.2020
- My role was to assist with the process of pharmaceutical prior authorizations by researching data to finalize patient approvals or denials based off of plan allowances
- Reviewed patient records and documents
- Researched and completed patient/provider request.
- Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
- Improved patient satisfaction with timely and accurate processing of prior authorizations for medications and procedures.
- Enhanced communication between healthcare providers and insurance companies, ensuring prompt resolution of issues related to prior authorizations.
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
Provider Specialist
BroadPath Healthcare
01.2017 - 09.2018
- Enhanced customer satisfaction by addressing provider concerns and resolving issues promptly.
- Streamlined provider onboarding processes for increased efficiency and timely completion.
- Developed strong relationships with providers, fostering trust and collaboration.
- Implemented quality improvement initiatives for better service delivery to clients.
Education
BS - Public Health
Capella University
09.2022
Skills
- Electronical Medical Record
- Proficient with Administrative technology
- Multitasking ability
- Detail Oriented
- Excellent Written and Verbal Skills
- Customer Relations
- Prior Authorization Verification
- Pharmacology
- EMR Documentation
- Patient Intake
- Clinical Evaluations
- Conflict Resolution
- Active Listening
- Quality Assurance
- Decision Making
- Patient Assessment
- Interpersonal Communication
- Technical Writing
- Computer Proficiency
- Organizational Skills
- Medical Terminology
- Critical Thinking
- Attention to Detail
- Time Management
- Clinical Research
- Adaptability
- Multitasking
- Data Analysis
- Customer Service
- Problem Solving
- Team Collaboration
- Patient Records Analysis
- Documentation and Reporting
- Clinical Recommendations
- Direct Patient Care
- Indirect Patient Care
- Health Education
- Medical Records Review
- Patient Education
- Electronic Medical Record Software
- Interdisciplinary Collaboration
Timeline
Clinical Documentation Specialist
Nuance- Cognizant
09.2021 - Current
Pharmacy Patient Advocate
Express Scripts
09.2020 - 09.2021
Prior Authorization Clinical Specialist
Prime Therapeutics
09.2018 - 09.2020
Provider Specialist
BroadPath Healthcare
01.2017 - 09.2018
BS - Public Health
Capella University