Josibeth Eteh
Red Lion,PA
Summary
A dedicated employee that is interested in applying skills and abilities to grow professionally in the administrative field.
Overview
8
8
years of professional experience
Work History
Medical Authorization Specialist
Cancer Care associates of York
York, PA
08.2023 - Current
- Reviewed, processed, and audited the medical necessity for each patient chemotherapy treatment and documentation of regimen and pathway adherence
- Worked as a patient advocate and functioned as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays
- Obtained insurance authorization and pre-certification for chemotherapy services
- Researched additional or alternative resources for non-covered services to prevent payment denials
- Provided a contact list for patients community resources including special programs, drugs and pharmaceutical supplies, and financial resources
- Communicated with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans
- Provided prompt feedback to physicians and management regarding pathway documentation issues and payer issues with non-covered chemotherapy drugs.
Customer Service Specialist
Wolf Home Products
York, PA
03.2022 - 08.2022
- Responding promptly to customer inquiries
- Communicating with customers through various channels
- Acknowledging and resolving customer complaints
- Knowing our products inside and out so that you can answer questions
- Processing orders, forms, applications, and requests
- Keeping records of customer interactions, transactions, comments, and complaints
- Communicating and coordinating with colleagues as necessary
- Providing feedback on the efficiency of the customer service process
- Managing a team of junior customer service representatives
- Ensure customer satisfaction and provide professional customer support.
Pre-Certification Specialist
Drayer Physical Therapy
York, PA
11.2019 - 11.2021
- Review chart documentation to ensure patient meets medical policy guidelines
- Prioritize incoming authorization requests according to urgency
- Obtain authorization via payer website or by phone and follow up regularly on pending cases
Medical Billing Admin
Apex Debt Management
Lancaster, PA
08.2018 - 04.2019
- Responsible for reviewing medical bills and contacting physicians, hospitals and specifically insurance companies to arrange payment and closure of outstanding bills
- Also utilize Epic Systems and other software compatible to collaborate with
- Employment history
Admin
BDP International
01.2016 - 04.2018
- Provided general support functions of international shipping documentation for the staff and clients
- This process included documentation retrieval, communication status reporting, auditing, and filing of international trades and transactions
- Ensured that all communication was completed, professionally accurate and error free with all current information in proper order and with corporate standards for timeliness
- Responsible for making sure all documentation is within control to customer and government requirements and special.
Education
Certification in Adult Education Program -
York County School of Technology
12.2015
High School Diploma -
Agora Cyber Charter School
Skills
- Administrative Support
- Data Entry
- Customer Service
- Executive Administrative
- Medical Billing
- Medical Coding
- Medical Insurance
- Alzheimer's Care
- ICD-10
- Insurance Verification
- Epic
- Medical Office Experience
- Behavioral Health
- Auditing
- Medical Records
- Home care
- Microsoft Office
- Excel
Timeline
Medical Authorization Specialist
Cancer Care associates of York
08.2023 - Current
Customer Service Specialist
Wolf Home Products
03.2022 - 08.2022
Pre-Certification Specialist
Drayer Physical Therapy
11.2019 - 11.2021
Medical Billing Admin
Apex Debt Management
08.2018 - 04.2019
Admin
BDP International
01.2016 - 04.2018
Certification in Adult Education Program -
York County School of Technology
High School Diploma -
Agora Cyber Charter School
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