Efficient with insurance verification tools such as Availity
Experienced with navigating insurance provider portals for various insurance payers
Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel on spreadsheets or EMR systems
Maintained accuracy, completeness, and security for medical records and health information
Developed and maintained productive working relationships with healthcare providers
Achieved insurance pre-authorizations to enable timely patient procedures
Performed various administrative tasks by filing, copying and faxing documents
Analyzed medical records and other documents to determine approval of requests for authorization
Input all patient data regarding claims and prior authorizations into system accurately
Verified eligibility and compliance with authorization requirements for service providers
Reviewed appeals for prior authorization requests and communicated with payers to resolve issues
Logistics Coordinator
Industry Lab Diagnostic Partners
01.2021 - 04.2022
Tracked specimens and notified customers of status or potential delays
Coordinated specimen pick up requests
Planned and supervised pick-up from production to end-user and scheduled daily and weekly routes
Generated documentation and information
Maintained department procedures manual detailing processing requirements for each individual account
Maintained excellent working relationships with customers by efficiently responding to inquiries and complaints concerning work orders, invoices and specimen pick up
Nurse Aide
The Landing of Long Cove
03.2019 - 01.2021
Provided assistance in daily living activities by dressing, grooming, bathing and toileting patients
Turned and positioned bed-bound patients to prevent bedsores and maintain comfort levels
Maintained and organized patient rooms and communal spaces to minimize environmental and safety hazards
Helped patients care for themselves by teaching proper, safe use of ambulation assistive devices such as canes or walkers
Home Health Aide
Arcadia Home Care & Staffing
11.2014 - 09.2020
Traveled to clients' homes to complete healthcare services and promote continuity of care
Improved patient well-being by providing compassionate and attentive personal care.
Reported unusual or urgent circumstances in patients' condition or environment immediately to nurse supervisor
Completed entries in log books, journals, and care plans to accurately document and report patient progress
Utilized universal precautions and infection control principles in all aspects of care
Patient care technician/assistant
PCT/PCA, Atrium Medical Center
03.2016 - 10.2019
Obtained patient vital signs and reported results to staff nurse or physician, noting changes from prior measurements
Answered patient assistance calls, assessed needs and offered qualified support
Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery
Responded to patient emergencies with immediate care and notified clinicians to provide comprehensive assistance
Lifted or assisted others to lift patients to move them on or off beds, surgical tables or stretchers
Collected laboratory specimens, dropped off at laboratories and picked up test results
Education
High School Diploma Or GED -
Franklin High School
Franklin, OH
2011
Skills
Prior Authorization
EMR Systems (Epic, Limsabc, ADS, Athenahealth, and Sphere)
Sample Collection
Charting
Patient Monitoring
ICD-10 Coding
CPT Coding
Medical Terminology
Insurance Eligibility Verifications
Spreadsheet Tracking
Patient-Focused Care
Vital Tracking
Dementia and Alzheimer's Knowledge
Direct Patient Care
Documentation and paperwork
Certification
CNA Training.
Timeline
Prior Authorization Specialist
Industry Lab Diagnostic Partners
01.2021 - Current
Logistics Coordinator
Industry Lab Diagnostic Partners
01.2021 - 04.2022
Nurse Aide
The Landing of Long Cove
03.2019 - 01.2021
Patient care technician/assistant
PCT/PCA, Atrium Medical Center
03.2016 - 10.2019
Home Health Aide
Arcadia Home Care & Staffing
11.2014 - 09.2020
High School Diploma Or GED -
Franklin High School
CNA Training.
Similar Profiles
Carol LevettCarol Levett
Lab Operations Manager at Industry Lab Diagnostic PartnersLab Operations Manager at Industry Lab Diagnostic Partners