Summary
Overview
Work History
Education
Skills
Timeline
Generic

Elicia Jacobs

Rossford

Summary

Experienced healthcare operations specialist with expertise in prior authorizations, utilization management, provider assistance, and medical record maintenance.

Overview

14
14
years of professional experience

Work History

Medical Records/Health Information Specialist

Ohio Health Care Plus
Remote
05.2020 - 11.2025
  • Reviewed and uploaded medical records and documentation using EHR systems
  • Ensured patient charts were properly documented
  • Verified documentation compliance with healthcare and HIPAA
  • Assisted with chart audits
  • Used Epic EHR for chart review and medical record management
  • Collaborated with healthcare teams to streamline electronic health record workflows.

Provider Services/ Pre Certification Specialist

Molina Healthcare
Columbus, OH
05.2018 - 03.2020
  • Supported provider offices and hospitals staff by verifying coverage for CPT codes and medical services
  • Conducted pre-certification reviews for newborn admissions and extended hospital stays
  • Coordinated authorization request related to maternal and neonatal care
  • Communicated coverage determinations and plan requirements to clinical staff
  • Assisted with documentation submission and follow-up to ensure compliance with payer guidelines

Prior Authorization/ Utilization Specialist

Express Scripts
Dublin, OH
02.2012 - 04.2018
  • Processed Traditional and Step Therapy prior authorization via fax
  • Reviewed patient medical records and clinical documentation to determine coverage and medical necessity
  • Built and maintained authorization cases using faxed and electronic records
  • Identified missing and or incomplete documentation
  • Maintained strict compliance with HIPAA and internal healthcare guidelines

Education

Associate of Science - Healthcare Adminstration

Lorain County Community College
Elyria, OH
05-2026

Skills

  • HIPAA compliance
  • Electronic health records
  • Insurance verification
  • Patient confidentiality maintenance
  • Medical claims processing
  • Release of information requests
  • Medical document scanning
  • Prior Authorization
  • CPT Codes
  • Epic
  • Case Review
  • ICD 10
  • Microsoft Office
  • Google Workspace

Timeline

Medical Records/Health Information Specialist

Ohio Health Care Plus
05.2020 - 11.2025

Provider Services/ Pre Certification Specialist

Molina Healthcare
05.2018 - 03.2020

Prior Authorization/ Utilization Specialist

Express Scripts
02.2012 - 04.2018

Associate of Science - Healthcare Adminstration

Lorain County Community College