Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
6
6
years of professional experience
Work History
Precertification Specialist
Shore Physicians Group
Somers Point, NJ
11.2022 - Current
Reviewed patient medical records to determine medical necessity for requested services and procedures.
Verified insurance eligibility, coverage levels, and benefit parameters prior to submission of precertification requests.
Compiled and submitted precertification requests for review by payers in accordance with established timelines.
Provided follow-up on pending precertification requests to ensure timely processing.
Resolved any discrepancies identified during the precertification process.
Maintained detailed documentation of all activities related to the precertification process.
Assisted with answering provider inquiries regarding preauthorization requirements and processes.
Administrative Assistant Coordinator
Salartash Surgical Associates
Egg Harbor, NJ
07.2022 - 03.2023
Coordinated and maintained records of office activities, including filing systems and databases.
Answered incoming calls in a professional manner while providing accurate information to callers.
Managed daily operations of the office which included ordering supplies and managing vendor relationships.
Maintained updated employee records in accordance with company policies and procedures.
Reviewed patient charts for accuracy and completeness.
Maintained a secure filing system for confidential documents.
Entered data into electronic health record systems.
Scanned paper records into digital format.
Responded to inquiries from patients, physicians and other healthcare providers regarding medical records.
Medical Assistant
Smithville Medical Associates
Smithville, NJ
01.2019 - 04.2020
Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
Prepared laboratory specimens for analysis and organized lab results for review by the physician.
Maintained accurate medical records through filing, charting, transcription and data entry into electronic health record system.
Answered phones, scheduled appointments and managed patient flow while greeting visitors in a professional manner.
Receptionist Administrator
Atlantic Medical Imaging - Township of Galloway
Manahawkin, NJ
03.2018 - 12.2018
Answered incoming calls professionally and politely, responding to customer queries or directing them to the relevant department.
Managed the distribution of incoming mail, faxes, and packages.
Assisted with administrative tasks such as data entry into company databases.
Responded promptly to emails from customers and other departments within the organization.
Adhered to company policies regarding confidentiality of sensitive information.
Welcomed visitors and customers by greeting and answering or directing inquiries.
Education
Associate of Science - Health Administration
Rasmussen University
Miami, FL
12-2024
Billing An Coding - Medical Administration And Billing And Coding
South Jersey Careers Partner With Thomas Jefferson
Vineland, NJ
11-2008
Medical Assistant/Medical Office - Medical Assisting
Harrison Career Institute
Vineland, NJ
07-2006
Skills
Conflict Resolution Techniques
Knowledgeable in [Hippa Compliance]
Proficient In Medical records
Effective Communication Skills
Proficiency in [Computers Microsoft]
Disability Awareness
Confidentiality
Income Verification
Interviewing Techniques
Appointment Scheduling
Medicaid Knowledge
Languages
Spanish
Professional
Timeline
Precertification Specialist
Shore Physicians Group
11.2022 - Current
Administrative Assistant Coordinator
Salartash Surgical Associates
07.2022 - 03.2023
Medical Assistant
Smithville Medical Associates
01.2019 - 04.2020
Receptionist Administrator
Atlantic Medical Imaging - Township of Galloway
03.2018 - 12.2018
Associate of Science - Health Administration
Rasmussen University
Billing An Coding - Medical Administration And Billing And Coding
South Jersey Careers Partner With Thomas Jefferson
Medical Assistant/Medical Office - Medical Assisting
Harrison Career Institute
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