Medical (EPIC, ALLSCRIPTS, BLUE CROSS/BLUE SHIELD, OPTUM, UHC)
Hi, I’m
Jacquelyn Kennedy
Medical Professional
Batesburg,SC
Work Preference
Summary
Professional in healthcare administration with strong background in managing authorization processes. Skilled in navigating complex regulatory environments, ensuring compliance, and streamlining workflows. Maintains compassionate and sympathetic relations with consumers. Reliable problem-solver with focus on communication, organization, and patient advocacy. Proven ability to manage account reconciliations and ensure timely and accurate posting of payments. Valued for team collaboration and adaptability, with keen eye for detail and commitment to achieving results.
Overview
19
years of professional experience
1
Certificate
Work History
Wipro
Prior Authorization Coordinator
08.2024 - Current
Job overview
- 100 % accurately processing 30-35 prior authorization cases daily
Resolved issues related to insurance authorizations or medical necessity quickly, minimizing delays in service provision.
Accurately collecting, verifying, recording client demographics, Medicare eligibility and compliance for authorization processing.
Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
Private Care Home HealthMars, Pennsylvania
Personal Care Technician
09.2020 - 07.2024
Job overview
- Successfully maintained patient's billing, medical record and home finances with 100 % satisfaction.
- Supported daily hygiene needs of patients by assisting with bathing, dressing, dental care and personal grooming. ·
- Ensured timely transportation of patients to medical appointments or therapy sessions, supporting continuity of care even outside the home setting
- Assisted patients with daily living activities, promoting independence and overall wellbeing by 50%.
Allegheny Health Network HospitalRemote, PA
Patient Support Specialist
12.2019 - 12.2021
Job overview
- Answered incoming calls while processing approximately 35-40 home health referrals daily.
- Utilization of ICD-10 codes for accuracy in processing Medical Device referrals and Home Health needs.
- Developed strong relationships with external vendors to ensure consistent supply levels for medical products required in operations ·
- Conducted thorough insurance verification and pre-authorization tasks, minimizing billing errors and disputes
1Vision Veterans Affairs MedicalRemote, PA
Sr. Product Support/Technical Support Manager
01.2016 - 12.2019
Job overview
- Facilitated 130 emails daily
- Call quality success rate 100%,
- First touch resolution rate 96% to assist patients on setting up their Telehealth monitors via phone.
- Assisted in 1-15 enrollments daily
- Assisted in 30-40 registrations daily
- Enhanced customer satisfaction by addressing technical issues and providing timely resolutions.
Code SysEllwood City, Pennsylvania
Office Manager/Code Enforcement Officer
06.2006 - 12.2017
Job overview
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Successful in 80% of cleanup efforts in town for a more appealing community.
- 98% of court cases won regarding blight in the community.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records
- Data Entry, billing, reconciling office expenses, office liaison.
Education
ICTCIndiana, PA
Medical Billing and Coding Certification from Medical Coding
01.2024
Skills
- EPIC/EHR
- MEDICAL TERMINOLOGY
- ICD-10-CM PROFICIENCY
- CPT/HCPCS Level II coding
- HEALTH INSURANCE & HIPPA COMPLIANCE
- MEDICAL CODING GUIDELINES
- MEDICAL OFFICE ADMINISTRATION
- ACCOUNTS RECEIVABLE
- MEDICAL RECORDS MANAGEMENT
- HEALTHCARE INDUSTRY
- INSURANCE VERIFICATION
- EFFECTIVE COMMUNICATION
- CRITICAL THINKING
Timeline
Prior Authorization Coordinator
Wipro
08.2024 - Current
Personal Care Technician
Private Care Home Health
09.2020 - 07.2024
Patient Support Specialist
Allegheny Health Network Hospital
12.2019 - 12.2021
Sr. Product Support/Technical Support Manager
1Vision Veterans Affairs Medical
01.2016 - 12.2019
Office Manager/Code Enforcement Officer
Code Sys
06.2006 - 12.2017
ICTC
Medical Billing and Coding Certification from Medical Coding
Certification
- CPC - Certified Professional Coder
Availability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Software
Communication and Collaboration (TEAMS, ZOOM, SKYPE)
Customer Relations (SALESFORCE)
Project Management (JIRA)
Microsoft Office Suites
Medical Billing
Adobe