Aundrea McCarty
Phoenix,AZ
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
10
10
years of professional experience
Work History
Radiology Referral & Authorization Coordinator
Aston Carter/ Dignity Health
04.2023 - Current
- Resolves, pre-certification, registration and case-related concerns prior to a patients appointment. This includes interacting with insurance carriers and various internal departments
- Handles Outbound & inbound telephone and written inquiries from providers and staff regarding prior authorization by screening and reviewing requests based on benefit plan design, client specifics and clinical criteria.
- Facilitates resolution of prior authorization issues and pro-actively addresses researches and resolves issues while maintaining accurate and complete documentation of all inquiries.
- Completes the referral process for a patient's ancillary, consultation, radiology or lab visit. The process includes checking insurance coverage, sending approval and receiving confirmation
- Maintained consistent follow-up on status of prior authorization requests.
Care Coordinator
Aston Carter/ Monogram Health
11.2022 - 03.2023
- Outbound calls to coordinate scheduling of patients receiving at home care
- Set up appointments based on patient and internal nurse availability and location
- Contact physicians and providers as needed on patients’ behalf
- Receive inbound calls from patients needed assistance
- Enter patient demographics and ensure information is accurate in internal systems
- Built strong relationships with clients to deliver emotional support and companionship.
Medical Administrative Assistant
Williams Family Medicine
01.2017 - 10.2022
- Answered incoming calls, routed messages and resolved patient inquiries within target timeframes.
- Maintained and updated patient records for accurate, current medical histories.
- Scheduling dates for appointments to come in to see physician
- ICD- 9 Codes, Medical Terminology
- Referrals to other Physicians
- Data Entry, Filing Charts (Alphabetical/ Numerical Order)
- EMR
- Verifying Insurance, Co- Payments, Deductibles,
- Checking In/ Out patients
Medical Records Clerk
South Mountains Women Clinic
01.2014 - 12.2016
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
- Scanned medical records in digital format for easy retrieval and accessibility.
- Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.
Education
Apollo College
2004
High School Diploma -
International Commerce High School
Phoenix, AZ12.2003
Skills
- SKILLS PROFILE
- Knowledge of and experience with Medical Terminology, and Customer Service
- Good typing and communication skills
- Experience in handling a wide amount of phone calls , fast past environment
- Medisoft
- Cerner
- Good customer-relations background
- Medical Terminology
- ICD 10 Codes
- EMR Systems
- Insurance Eligibility Verifications
- Prior Authorizations
Timeline
Radiology Referral & Authorization Coordinator
Aston Carter/ Dignity Health
04.2023 - Current
Care Coordinator
Aston Carter/ Monogram Health
11.2022 - 03.2023
Medical Administrative Assistant
Williams Family Medicine
01.2017 - 10.2022
Medical Records Clerk
South Mountains Women Clinic
01.2014 - 12.2016
Apollo College
High School Diploma -
International Commerce High School
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