Summary
Overview
Work History
Education
Skills
Timeline
Generic

Drema Littlejohn

Washington,DC

Summary

To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

8
8
years of professional experience

Work History

Lead Patient Service Representative

GW MFA
08.2021 - Current
  • 1. Guides front office team to better business outcomes. Leadership duties include constantly improving customer service, process efficiency, and effectiveness, lowering error rates, improving TOS payments, improving precertification speed and accuracy, and establishing daily protocols.
  • 2. Answer phones in timely manner and in accordance with company policy.
  • 3. Check in/out patients at time of visit.
  • 4. Verifies all insurance demographics and coverage by using insurance company's online or phone resources. Maintains goal of 100% verification of all insurance demographics and coverage before patient appointment.
  • 5. Obtains referrals and insurance authorizations
  • 6. Produce daily/weekly reports for no-shows, and rescheduled and completed appointments.
  • 7. Helps develops office protocols.

Prior Authorization Coordinator

Centers for Advance Orthopedics
07.2018 - 08.2021
  • Contacted insurance carriers to verify patients' insurance eligibility benefits and requirements.
  • Managed over 10 prior authorization request per day.
  • Requested, tracked, and obtained pre-authorization from insurance carriers within time allotted for medical services.
  • Requested, followed up, and secured prior authorizations prior to services being performed.
  • Worked in collaboration with medical sites to obtain any additional clinical documentation that can be forwarded to insurance carrier.
  • Work with Medicare and commercial plan authorizations.
  • Schedule peer-to-peer reviews for doctor and nurse practitioner.

Prior Authorization Coordinator

Metro Orthopedics and Sports Therapy
05.2015 - 07.2018
  • Answered phone calls and message requests related to prior authorization requests for ten doctors
  • Contact insurance carriers to verify patient's insurance eligibility, benefits, and requirements.
  • Request, track, and obtain pre-authorization from insurance carriers within time allotted for medical and services.
  • Request, follow up, and secure prior authorizations prior to services being performed.
  • Demonstrate and apply knowledge of medical terminology and high proficiency general medical office procedures including HIPPA regulations.
  • Communicate any insurance changes or trends among team
  • Schedule peer-to-peer review for team of ten doctors.
  • .

Education

Certificate in Medical Assistant -

Sanford Brown Institute
Landover, MD
03.2003

Skills

  • EPIC EMR
  • Insurance Authorizations
  • EMR Systems
  • Microsoft Word
  • Medical terminology
  • Microsoft Office
  • HIPAA
  • ICD-10

Timeline

Lead Patient Service Representative

GW MFA
08.2021 - Current

Prior Authorization Coordinator

Centers for Advance Orthopedics
07.2018 - 08.2021

Prior Authorization Coordinator

Metro Orthopedics and Sports Therapy
05.2015 - 07.2018

Certificate in Medical Assistant -

Sanford Brown Institute

Similar Profiles

CREATE PROFILE
Drema Littlejohn