Jenna Waples
Dallastown,PA
Overview
22
22
years of professional experience
Work History
Precertification Specialist, Surgery
Oss Orthopedic Hospital, LLC
York, PA
01.2023 - Current
- Checking Pending surgery cases for updates using health insurance portal, or calling health insurance company.
- Initiated new surgery cases on appropriate health insurance web portals. Call health insurance to initiate case via phone if unable to initiate via portal.
- Pull Surgery scheduling sheets, outside facility surgery case sheets from surgery buckets. Create "TODO" to follow case.
- Check email and Teams messages for add on surgery cases, and initiated.
- Help to cover co-workers physicians when off, and follow case until approved.
Precertification Specialist, Imaging
Lancaster Orthopedic Group
Lancaster, PA
06.2022 - 01.2023
- obtain authorization through patients health insurance for CT, MRI, XRay, Bone Spec Scans, Ultrasounds, ect.
- Submit appropriate medical records to insurance fro pre-authorization., record authorization number and date range, scheduling patient at appropriate testing facility, schedule follow up appointment with ordering physician to go over results.
- schedule Peer to Peer between medical director from health insurance and ordering physician, to try and over turn a denied case.
- Answer phone, address voicemails, return calls to patients.
- Send chart message to physician and team for pending denials.
Front Office Administrator
Wellspan -Therapy (PT,OT,SLP)
York, PA
07.2014 - 06.2022
- open/close clinic
- check in/out patients fro therapy appointments
- collect co-pays and create deposits
- schedule evaluations and follow up appointments
- answer and route phone calls/emails
- create new patient charts, verify insurance prior to therapy appointment
- create and edit therapist templates for mettings, pto, ect.
- manage work ques to correct edits on accounts to ensure billing is sent out correctly
- supply ordering for clinic and multiple sites
- fax documents to physicians to obtain signatures
Cashier
First Capital Uniforms
York , PA
01.2002 - 06.2014
- Ring up customer purchases
- place special orders for customers, take payment, and contact customer when items came in
- answer phone
- create deposits at end of day
- straighten/organize clothing racks
- unbox orders, price items, and place out on floor for sale
- organize clothing racks, and rearrange racks for new items
- Bank runs for deposits, break down bills for change
Education
Physical Therapy Assistance
Central Penn College
Summerdale, PA12-2009
High School Diploma -
Red Lion Area Sr. High School
Red Lion06-2003
Skills
- Customer Engagement
- Telephone reception
- Scheduling appointments
- Inventory Management
- Calendar Management
- Document Management
- Word Processing
- Supply Inventory
- File Organization
Timeline
Precertification Specialist, Surgery
Oss Orthopedic Hospital, LLC
01.2023 - Current
Precertification Specialist, Imaging
Lancaster Orthopedic Group
06.2022 - 01.2023
Front Office Administrator
Wellspan -Therapy (PT,OT,SLP)
07.2014 - 06.2022
Cashier
First Capital Uniforms
01.2002 - 06.2014
Physical Therapy Assistance
Central Penn College
High School Diploma -
Red Lion Area Sr. High School
Similar Profiles
Azure D. CastroAzure D. Castro
Registered Nurse | Professional Staff Nurse (Large Joint Ortho, Acute post operative care) at OSS HospitalRegistered Nurse | Professional Staff Nurse (Large Joint Ortho, Acute post operative care) at OSS Hospital
Kelsey KrauterKelsey Krauter
Registered Nurse at The Orthopedic Hospital at Lutheran HospitalRegistered Nurse at The Orthopedic Hospital at Lutheran Hospital
BRENDA REEDBRENDA REED
LAB TECH at WVU THOMAS HOSPITAL ORTHOPEDIC HOSPITALLAB TECH at WVU THOMAS HOSPITAL ORTHOPEDIC HOSPITAL
Abigail HartranftAbigail Hartranft
Microbiology Team Leader at Eurofins Lancaster LaboratoriesMicrobiology Team Leader at Eurofins Lancaster Laboratories
Robert LyndRobert Lynd
Owner at Nature's Touch of SerenityOwner at Nature's Touch of Serenity