Brianne Rice
Sayreville,NJ
Summary
Accomplished Prior Authorization Specialist & CMA with a proven track record at Integrated Dermatology Group, excelling in HIPAA compliance and patient-focused care. Expert in streamlining authorizations and enhancing client service, achieving high performance evaluations. Skilled in both direct and indirect patient care, demonstrating significant improvements in patient scheduling and procedure assistance.
Appraiser adept at completing high volume of appraisals quickly and accurately. Motivated to exceed business expectations while delivering highly accurate results. Proven history of streamlining processes for maximized productivity.
Overview
5
5
years of professional experience
Work History
Prior Authorization Representative & CMA
Integrated Dermatology Group
08.2023 - Current
- Verified eligibility and compliance with authorization requirements for service providers.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Authorized surgical requests in accordance with applicable plan guidelines.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms, and allergies.
- Documented vital signs and health history for patients in clinic and hospital environments.
Appraisal Coordinator
Epic Appraisal
06.2022 - 08.2023
- Assisted in data entry for residential reviews of appraisals and evaluations.
- Communicated with fee appraisers regarding orders, reports and assignment schedules.
- Obtained fee amounts from fee appraisers for applications requiring loan estimates.
- Monitored completion of reports and turnaround of orders for fee and staff appraisers.
- Composed and ordered engagement letters to fee appraisers.
- Kept high average of performance evaluations.
Prior Authorization Specialist & CMA
University Urgicare
06.2019 - 06.2022
- Input all patient data regarding claims and prior authorizations into system accurately.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Obtained client medical history, medication information, symptoms, and allergies.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Education
Parma Inst.
Iselin, NJHigh School Diploma -
New Brunswick High School
New Brunswick, NJ06.2017
Skills
- HIPAA Compliance
- Client Service
- Authorizations
- Indirect Patient Care
- Patient-focused care
- Procedure Assistance
- Patient Scheduling
Timeline
Prior Authorization Representative & CMA
Integrated Dermatology Group
08.2023 - Current
Appraisal Coordinator
Epic Appraisal
06.2022 - 08.2023
Prior Authorization Specialist & CMA
University Urgicare
06.2019 - 06.2022
Parma Inst.
High School Diploma -
New Brunswick High School
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