Janelle Wessel-Sterling
IOLA,KS
Summary
Versatile and efficient Medical Assistant with 4+ years in patient care and coordination, demonstrated at Allen County Regional Hospital. Skilled in utilizing EHR software and managing prior authorizations, complemented by a problem-solving ability and a positive demeanor. Willingness to take on added responsibilities to meet team goals. Highly motivated and committed Medical Assistant with proven history of superior performance at individual, team and organizational levels. Multitasks and prioritizes workloads with little or no supervision. Detail-oriented.
Overview
3
3
years of professional experience
Work History
Medical Assistant /Prior Authorization Representative
Allen County Regional Hospital
12.2016 - 04.2020
- Performed medical records management, including filing, organizing and scanning documents.
- Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
- Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
- Improved patient satisfaction, efficiently managing appointment schedules and reducing wait times.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Verified eligibility and compliance with authorization requirements for service providers.
- Increased accuracy of insurance coverage validation by utilizing available tools and resources to verify eligibility requirements quickly.
- Ensured compliance with HIPAA regulations by maintaining strict confidentiality in handling sensitive patient information.
- Reduced claim denials by thoroughly reviewing and analyzing medical necessity documentation before submitting for approval, ensuring all criteria were met.
- Collaborated with healthcare providers to expedite the process of obtaining necessary medical documentation for approvals.
Education
No Degree - Certified Nursing Assistant
Southeast Community College
Falls City, Ne05.1996
Skills
HIPAA Compliance
EMR/EHR
Organized and able to multitask
Friendly, positive, and calm under pressure
Patient Scheduling
Clinical Documentation
Patient Assessments
Medical terminology knowledge
Insurance Verification/ Authorization
Anatomy and Physiology Knowledge
Reliable team player
Professionalism and Ethics
Knowledge of CPT/ICD procedure coding assignment
Timeline
Medical Assistant /Prior Authorization Representative
Allen County Regional Hospital
12.2016 - 04.2020
No Degree - Certified Nursing Assistant
Southeast Community College