Joan Jackson
RMA-PA Specialist
Columbia,SC
Summary
Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience.
Overview
8
8
years of professional experience
Work History
RMA-PA Specialist
Columbia Nephrology Associates
Columbia, SC
05.2016 - Current
- Communicated with insurance carriers to acquire authorizations, notifications, and pre-certifications for patients.
- Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
- Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
- Scheduled patient appointments, diagnostic specialty appointments, tests and procedures.
- Maintained accurate records of all authorization activities in the database system.
- Coordinated with other departments to obtain additional information needed for prior authorization.
- Reviewed prior authorization requests to ensure accuracy and completeness of required information.
- Processed appeals in a timely manner as per policy guidelines.
- Researched clinical criteria and determined eligibility for requested services based on plan provisions.
Education
Associate of Applied Science - Medical Assisting
05-2016
Skills
- Multitasking
- Decision-Making
- Written Communication
- Professionalism
- Time management abilities
- Attention to Detail
- Analytical Thinking
- Team Collaboration
- Problem-solving abilities
- Effective Communication
- Team building
- Organizational Skills
- Task Prioritization
- Problem-Solving
- Goal Setting
- Self Motivation
Certification
Registered Medical Assistant
Timeline
RMA-PA Specialist - Columbia Nephrology Associates
05.2016 - Current
Fortis College - Associate of Applied Science, Medical Assisting
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