Jamie Wine
Gibbstown,NJ
Summary
Healthcare professional prepared for role with strong background in managing prior authorizations and fostering positive relationships with healthcare providers and insurance companies. Known for collaborative approach and consistently achieving results despite changing needs. Proficient in medical coding, insurance guidelines, and effective communication.
Overview
14
14
years of professional experience
Work History
Prior Authorization Specialist
Pinnacle Treatment Centers
10.2023 - Current
- Utilized electronic health record systems to document authorizations and track patient progress.
- Coordinated communication between patients, providers, and insurers to resolve complex authorization issues effectively.
- Verify patient's insurance, along with inform patient's of copays/deductibles.
Receptionist/Secretary
DelGiorno Pediatrics
10.2016 - Current
- Managed front desk operations, ensuring efficient patient check-in and appointment scheduling.
- Coordinated communication between medical staff and families, enhancing patient experience and satisfaction.
- Confirmed appointments, communicated with clients, and updated client records.
Client Service Coordinator
Banfield Veterinary
03.2013 - Current
- Lead the Cycle of Service for the veterinary medical team
- Dispense medication for clients and educate discharge instructions
- Managed appointment scheduling, optimizing client flow and enhancing operational efficiency.
- Provided support in client education regarding services and procedures to improve understanding and satisfaction.
Prior Authorization Specialist
Trabecular Medical Group
08.2022 - 08.2023
- Reviewed and processed prior authorization requests to ensure compliance with health insurance guidelines. (Auth requests in specialty rx/imaging)
- Inform client(s) of payment amounts due, for rendered services.
- Input all patient data regarding claims and prior authorizations into system accurately.
Registrar
Virtua
04.2012 - 06.2014
- Obtain information to carry out registration and pre-registration of patients
- Accurately enter patient demographic and health insurance data into computer
- Discharge clientele charts using ICD 9 coding system
- Efficiently obtain and verify patient's insurance eligibility
- Discuss patient's HIPAA privacy rights
Unit Secretary
Virtua
10.2012 - 10.2013
- Prepare, compile, and maintain patient and operational records in computer system, with completion of patient charts and physician orders
- Respond to telephone calls, faxes, and personnel regarding patient
- Assist with coordination in patient flow
Education
Associate of Applied Science - Medical Office Management
Kaplan University
Chicago, IL08-2011
Skills
- Prior authorization process, Medical terminology, Insurance verification, Medical appeals handling, Authorizations, Benefit coverage
Languages
English
Additional Information
Knowledge in Microsoft Office/excel/word, Navinet, Pear, Availity, Magellan, Eblu, EMR systems.
Timeline
Prior Authorization Specialist
Pinnacle Treatment Centers
10.2023 - Current
Prior Authorization Specialist
Trabecular Medical Group
08.2022 - 08.2023
Receptionist/Secretary
DelGiorno Pediatrics
10.2016 - Current
Client Service Coordinator
Banfield Veterinary
03.2013 - Current
Unit Secretary
Virtua
10.2012 - 10.2013
Registrar
Virtua
04.2012 - 06.2014
Associate of Applied Science - Medical Office Management
Kaplan University