Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Jessica Brizuela

Spring,Tx

Summary

Experienced professional with a diverse background and extensive knowledge seeking new opportunities to utilize skills and achieve excellence. Demonstrated success and adaptability in various roles. Able to leverage expertise to make a significant impact in any position.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Prior Authorization Specialist

Millennium Physicians Associations
06.2022 - Current
  • Obtain all Oncology Prior Authorizations for chemo Infusions
  • Answer phone calls
  • Familiarize with ICD10 & CPT Codes
  • Schedule Peer to Peer reviews for the physicians
  • Perform clinical reviews
  • Familiar with Nextgen + Iknowmed
  • Complete over 10-20 authorizations a day
  • Communicating with Nurses and physicians
  • Utilize portals: Availity, Oncohealth, New Century health, wellmed, etc
  • Appeals/Denials
  • Referrals

Medical Assistant/ Front Desk

Greater Houston Diabetes Endocrinology
03.2018 - 12.2020
  • Insurance verification
  • Resolve unpaid claims with insurance
  • Collecting copay, deductibles, Co-insurance
  • Check in and check out patients
  • Collect delinquent accounts
  • Prior Authorizations
  • Schedule Appointment
  • Answer Phones
  • Room Patients
  • Call in prescriptions
  • Take vitals
  • Inform patients of results
  • Confirm appointment
  • EMR( Practice Fusion)
  • Faxing, Scanning, Documenting patient's chart etc
  • Injections
  • Billing for office visits

Medical Assistant

Louetta Foot and Ankle Specialist
09.2016 - 03.2018
  • Billing for procedures, and office visits
  • Foot x-rays
  • Dispense DME items
  • Educate Patients on how to use the DME items
  • Remove sutures
  • Run MLS laser treatment on patients
  • Nail laser treatments
  • Heel injections
  • Cast Patient for Custom Orthotics
  • Answer phones
  • Schedule Appointments
  • Cancel Appointments
  • Call Backs
  • Tracknet Experience

Medical Assistant-Externship

Kelsey Seybold
06.2016 - 08.2016
  • Epic Experience
  • Vitals
  • Assist physician with well woman exam
  • Capillary Puncture
  • Perform Wound Care
  • Report relevant information concisely accurately

Education

Medical Assisting -

Lone Star college North Harris
09.2024

Skills

  • Prior Authorization Process
  • ICD-10 Coding Familiarity
  • Medical Terminology
  • Medical Appeals Handling
  • Insurance Verification
  • Effective communication skills
  • Medicare and Medicaid knowledge
  • Retro-Authorizations
  • Patient Scheduling
  • Critical thinking abilities
  • Utilization Review Experience

Certification

CPR BLS HEALTHCARE PROVIDER

Timeline

Prior Authorization Specialist

Millennium Physicians Associations
06.2022 - Current

Medical Assistant/ Front Desk

Greater Houston Diabetes Endocrinology
03.2018 - 12.2020

Medical Assistant

Louetta Foot and Ankle Specialist
09.2016 - 03.2018

Medical Assistant-Externship

Kelsey Seybold
06.2016 - 08.2016

Medical Assisting -

Lone Star college North Harris

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Jessica Brizuela