Ciara Aton
Bryceville
Summary
Efficient Authorization Specialist known for high productivity and ability to complete tasks swiftly and accurately. Possess specialized skills in medical coding, insurance verification, and regulatory compliance that ensure smooth authorization processes. Excel in communication, problem-solving, and time management which facilitate effective collaboration with healthcare providers and insurance companies.
Overview
6
6
years of professional experience
2
2
Certifications
Work History
Authorization Specialist/Referral Coordinator
Brooks Rehabilitation Medical Group
11.2023 - Current
- Prepared weekly clinic schedule by verifying patient insurance and updating coverage information.
- Requested primary care and HMO referrals, processing treatment referrals as needed.
- Managed workload messages by answering and returning authorization-related calls and voicemails.
- Obtained prior authorizations for ordered services through insurance portals, phone calls, or fax requests.
- Submitted clinical documentation for each authorization, following up until determination was received.
- Enrolled eligible patients in Botox/Xeomin assistance programs and coordinated with reimbursement representatives.
- For specialty-pharmacy toxin patients, obtained authorizations, called in prescriptions, and scheduled medication deliveries.
- Documented all approvals by scanning authorization letters and maintaining updated records in the Authorization Tab.
Medical Assistant
Brooks Rehabilitation Medical Group
04.2023 - 11.2023
- Accurately documented and rechecked patient vital signs as required.
- Conducted MIPS documentation, allergy verification, and complete medication assessments.
- Supported providers by mixing toxin medications and assisting with injections.
- Prepared for Baclofen pump refills and assisted throughout procedures.
- Managed workload messages in Meditech while processing refill requests promptly.
- Collaborated with pharmacies to address patient medication concerns effectively.
- Processed referrals, orders, and related documentation for external entities.
- Coordinated weekly clinic schedules, optimizing provider workflow.
Medical Assistant for Dr. Nima Aghaebrahim
Lyerly Neurosurgery
09.2020 - 04.2023
- Prepared clinic materials by ensuring availability of necessary medical records for providers.
- Requested, obtained, and scanned records into patient charts efficiently.
- Updated patient insurance information and demographics before appointments.
- Verified completion of required labs and imaging prior to scheduling office visits.
- Assisted patients with scheduling imaging when needed to enhance care.
- Answered incoming phone calls, monitored messages, and completed daily tasks.
- Maintained accurate documentation in patient charts and faxed records to outside facilities.
- Roomed patients during clinic, recorded vitals, and completed MIPS documentation.
Patient Access Representative
Lyerly Neurosurgery
11.2019 - 09.2020
- Executed ClienTell reports and managed patient check-in, ensuring accurate demographic updates in system.
- Scanned documents into TouchChart and assisted patients with electronic paperwork completion on iPad.
- Collected copays and outstanding balances; verified insurance eligibility or updated information as necessary.
- Corrected returned-mail addresses and performed end-of-day insurance sweeps, notifying patients of inactive coverage.
- Posted checks and printed encounters or face sheets for next day’s schedule.
- Organized all required paperwork for end-of-day billing and delivered it to security.
Education
High School Diploma -
West Nassau High School
Callahan, FL06-2016
Associate of Arts - General Studies
Florida State College At Jacksonville
Jacksonville, FLSkills
- Insurance verification
- Prior authorization
- Referral management
- Medical documentation
- Patient enrollment
- Healthcare compliance
- Patient communication
- Effective communication
- Team collaboration
- Medical terminology expertise
- Prior authorization processing
- Eligibility procedures
Skills - Systems
- Cerner EMR system
- Touchworks EMR system
- EPIC EMR system
- Meditech EMR system
Certification
Medical Assistance Certification
Timeline
Authorization Specialist/Referral Coordinator
Brooks Rehabilitation Medical Group
11.2023 - Current
Medical Assistant
Brooks Rehabilitation Medical Group
04.2023 - 11.2023
Medical Assistant for Dr. Nima Aghaebrahim
Lyerly Neurosurgery
09.2020 - 04.2023
Patient Access Representative
Lyerly Neurosurgery
11.2019 - 09.2020
High School Diploma -
West Nassau High School
Associate of Arts - General Studies
Florida State College At Jacksonville