Janice Prendergast
Lindenhurst
Summary
Experienced professional in the Healthcare Industry seeking a position to utilize extensive knowledge and successful experiences. Proven track record of delivering exceptional results by navigating complex healthcare systems and implementing innovative solutions for improved patient outcomes. Specialized in [specific areas of expertise], consistently driving operational efficiency and optimizing resource allocation. Committed to delivering high-quality care and making a positive impact on patients' lives while contributing to the overall success of healthcare organizations.
Overview
15
15
years of professional experience
Work History
Patient Access Registrar
LIJ Valley Stream
01.2018 - Current
- Reduced registration errors through diligent attention to detail when gathering patient information, leading to improved data accuracy.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Obtained payments from patients.
Prior Authorization and Referral Coordinator
Prohealth Care Associates
07.2017 - 01.2018
- Follows proper protocols for processing of referrals and authorizations for outpatient procedures such as MRI’s/MRA’s, CT scans, Echocardiograms, stress tests and other cardiology and gastroenterology procedures
- Enters all referrals and authorizations in patient record and log
- Communicated consistently to ensure patient awareness.
- Assist with Front Desk as needed
- Verifying patients active insurance
- Retrieving referral messages and processing timely
- Completing forms
- Scanning patient insurance card and any other relevant information
- Generating referrals to specialty practices
- Navigate EHR with relation to referral tracking and logging
- Perform other job related duties as assigned
Customer Care Manager/Prior Authorization Specialist
RX Plus Pharmacy
09.2014 - 02.2017
- Over see the day to day process of the customer care call center and make sure the team is running efficiently
- Ensure all employees are following protocol as well as being provided the necessary tools to complete their daily tasks
- Responsible for creating a bridge of communication between delivery drivers and staff
- Train and supervise new hires within the Customer Care and Pharmacy Technician guidelines
- Enforce proper protocol to assist doctors offices with the submitting and processing of prior authorizations
- Coordinates schedules and responsible for all requests for any changes for20+ employees
- Assist with typing prescriptions, collecting insurance, processing prescriptions, scheduling delivery of medications, ordering, dispensing and labeling medications, bagging and delivering to patients
Lead Medical Assistant (Dermatology & Internal Medicine)
Concorde Medical Group
10.2009 - 08.2014
- Train and supervise medical assistants and interns
- Schedule appointments, check insurance and referrals
- Submit claims for medication to insurance and completes prior authorization requests for medications and medical procedures
- Assist doctors in surgical procedures such as biopsies, excisions, MOHS, ED&C’s and various cosmetic procedures such as laser, peels, injectables and Botox
- Obtain blood and other specimens and prepare for testing, perform EKG’s and record vital signs
- Stock, sterilize, package and prepare instrumentation and other medical equipment used in surgical procedures
- Prepare rooms with necessary instruments and equipment; prepare patients for examinations and explain treatment procedures, provide ongoing support through assessment, planning, implementation and overall evaluation of individual patient needs
- Prepare and administer IV therapy infusions using Remicade, Reclast, Tysabri, and Actemra
Education
Bachelors in Science - Health Science
Mercy College
Dobbs Ferry, N.Y.Certificate - Phlebotomy
ABC Training Center
Bronx, N.Y.Certificate - Medical Assistant
U.S. Career Institute
New York, N.Y.Skills
- Graduate with professional experience in a healthcare settings and private duty medical assisting
- Committed to the medical profession and administering quality patient care Ability to blend professionalism, capability and compassion to truly integrate patients’ medical and emotional care within hospital, facility or private environment
- Proficient in Microsoft Word, Excel, PowerPoint, and the use of Electronic Medical Records
Timeline
Patient Access Registrar
LIJ Valley Stream
01.2018 - Current
Prior Authorization and Referral Coordinator
Prohealth Care Associates
07.2017 - 01.2018
Customer Care Manager/Prior Authorization Specialist
RX Plus Pharmacy
09.2014 - 02.2017
Lead Medical Assistant (Dermatology & Internal Medicine)
Concorde Medical Group
10.2009 - 08.2014
Bachelors in Science - Health Science
Mercy College
Certificate - Phlebotomy
ABC Training Center
Certificate - Medical Assistant
U.S. Career Institute
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