Caitlin Tranchita
Hudson,NH
Summary
To further my career in health care. Organized professional knowledgeable in regulatory standards and compliance requirements. Confident Prior Authorization Specialist with a background spent working in medical offices, communicating effectively orally and through writing and developing prior authorization workflows.
Overview
12
12
years of professional experience
Work History
Prior Authorization Specialist/Medical Secretary 2
Atrius Health
Chelmsford, MA
03.2021 - Current
- 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.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Verified eligibility and compliance with authorization requirements for service providers.
Surgical Scheduler Coordinator
Atrius Health
Chelmsford, MA
06.2016 - 03.2021
- Demonstrated adaptability by managing unexpected schedule changes or emergencies, ensuring minimal disruption to other scheduled surgeries.
- Reduced patient wait times by effectively coordinating with surgeons, nurses, and support staff.
- Developed strong relationships with referring physicians'' offices to facilitate seamless scheduling of surgeries and enhance overall patient experience.
- Contributed to hospital efficiency by managing schedules for multiple operating rooms and surgical teams.
- Processed prior authorizations for surgical procedures prior to scheduled dates.
Medical Secretary 1
Harvard Vanguard Medical Associates- Internal Medicine
10.2012 - 06.2016
- Greet & check out patients with great customer service
- Set up in office appointments per patient’s request
- Communicate between patients and doctors and follow up on requests
- Work referral reports, and set up visits with specialists within requested priority
- Answer phones directing call appropriately
- Take messages from patients to send telephone encounters to doctors
- Take Rx refill requests from patients sending to appropriate staff
- Handling incoming and outgoing faxes.
Education
Blaine Beauty Career
Waltham, MA06.2005
Winchester High School
Winchester, MA06.2004
Skills
- Epic
- Prior Authorization Process
- Medical Terminology
- ICD-10 Coding Familiarity
HIPAA Compliance Knowledge
- CPT coding knowledge
References
- Valerie Conti, (978)771-4714
- Robert Silva, (978)250-6325 ext. 26325
- Lauren Ferullo, (978)902-3049
- Monica Yurnet, (617)421-6073 ext. 86073
Timeline
Prior Authorization Specialist/Medical Secretary 2
Atrius Health
03.2021 - Current
Surgical Scheduler Coordinator
Atrius Health
06.2016 - 03.2021
Medical Secretary 1
Harvard Vanguard Medical Associates- Internal Medicine
10.2012 - 06.2016
Blaine Beauty Career
Winchester High School