Summary
Overview
Work History
Education
Skills
Timeline
Generic

Keisha Hopkins

Ocala,FL

Summary

Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

13
13
years of professional experience

Work History

Prior Authorization Specialist

Citrus Cardiology Consultants
Ocala, FL
04.2020 - Current
  • Explained eligibility details and affordability options to patients with kindness and respect.
  • Contacted insurance companies to obtain necessary preauthorizations needed for upcoming tests and procedures.
  • Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
  • 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.
  • Coordinated resolutions for issues and appealed denied authorizations.
  • Notified ordering providers of denied authorizations.
  • Maintained positive working relationship with fellow staff and management.
  • Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.

Prior Authorization Specialist

Florida Cardiology Associates
Ocala, FL
01.2018 - 04.2020
  • Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
  • Contacted insurance companies to obtain necessary preauthorizations needed for upcoming tests and procedures.
  • Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.

Prior Authorization Specialist/Patient Care Coordinator

Radiology Associates Of Ocala
Ocala, FL
12.2016 - 12.2017
  • Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
  • Scheduled patient appointments, diagnostic specialty appointments, tests and procedures.
  • Clarified patient inquiries and questions to update patient account information in computer system.

Medical Assistant/Front Desk Manager

Cardiovascular Institute Of Central Florida
Ocala, FL
01.2010 - 12.2016
  • Oversaw cash and credit card payment transactions at the front desk.
  • Measured vital signs and took medical histories to prepare patients for examination.
  • Scheduled appointments for patients via phone and in person.
  • Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
  • Contacted pharmacies to submit and refill patients' prescriptions.
  • Incorporated outside records into charts and EHR.

Education

Certificate Medical Billing And Coding - Medical Billing And Coding

Rasmussen University
Ocala, FL
12.2022

Registered Medical Assistant - Medical Assisting

Keiser University
Tallahassee, FL
06.2000

High School Diploma -

Vanguard High School
Ocala
06.1998

Skills

  • Understanding of medical terms
  • Precertification requirements
  • Telephone etiquette
  • Friendly, positive attitude
  • Organizational skills
  • Communication
  • Critical thinking
  • Microsoft Office

Timeline

Prior Authorization Specialist

Citrus Cardiology Consultants
04.2020 - Current

Prior Authorization Specialist

Florida Cardiology Associates
01.2018 - 04.2020

Prior Authorization Specialist/Patient Care Coordinator

Radiology Associates Of Ocala
12.2016 - 12.2017

Medical Assistant/Front Desk Manager

Cardiovascular Institute Of Central Florida
01.2010 - 12.2016

Certificate Medical Billing And Coding - Medical Billing And Coding

Rasmussen University

Registered Medical Assistant - Medical Assisting

Keiser University

High School Diploma -

Vanguard High School

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Keisha Hopkins