Kyrie White
Farmer City,IL
Summary
Healthcare professional prepared for role with strong background in managing prior authorizations and fostering positive relationships with healthcare providers and insurance companies. Known for collaborative approach and consistently achieving results despite changing needs. Proficient in medical coding, insurance guidelines, and effective communication.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Prior Authorization Specialist
Advanced Diabetes Supply
11.2021 - 09.2022
- Verified patient eligibility and insurance coverage to ensure compliance with payer guidelines
- Collaborated with healthcare providers to gather necessary clinical documentation for prior authorization submissions
- Communicated with insurance companies to obtain approval or denial decisions for prior authorization requests
- Participated in regular meetings with interdisciplinary teams to discuss complex cases requiring additional support or intervention
- Adhered to HIPAA regulations and maintained strict confidentiality when handling sensitive patient information during the prior authorization process
- Contributed to team goals by meeting individual productivity targets while maintaining accuracy in processing
- Utilized knowledge of medical terminology, CPT codes, ICD-10 codes, and HCPCS codes during review process
- Maintained a high level of professionalism and customer service when interacting with patients, providers, and insurance representatives
- Demonstrated strong attention to detail in reviewing clinical documentation for accuracy and completeness
- Managed multiple priorities effectively, meeting deadlines for processing prior authorization requests
Medical Assistant
Urgent care 3D
12.2020 - 09.2021
- Phlebotomy
- Covid vaccinations
- Covid testing (rapid and Pcr nasopharngeal)
- Perform EKG
- Communicate patient report with providers
- Prepare specimens for laboratories
- Open and close the clinic
- Input patients billing codes
- Create lab requisitions with icd-10 codes
- Perform ear lavage
- Assisted doctor with in-office procedures
- Used EHR system
- Obtained patient vitals
- Administered vaccines
- Scheduled patient appointments
- Performed patient assessments
- Responsible for front office duties
- Processed medication refill requests
- Performed clinical skills under physician supervision
Speciman processer/ phlebotomist
PHAMATECH, INC.
07.2020 - 01.2021
- Process specimens
- Enter data
- Review patient medical records
- Covid 19 testing
- Check vital
- Patient care
- Customer service
- Schedule appointments
- Take patient information
Medical Assistant Externship
Phamatech
09.2020 - 10.2020
- Take patient information
- Review test results with patients
- Covid testing
- Prepare patients for testing
- Process specimens
- Input data
- Provided patient care
- Obtained patient vitals
- Performed blood draws
- Responsible for scheduling patients for appointments
- Ordered labs
- Performed in-office procedures
- Assisted with insurance verification
Phlebotomy Technician Internship
Scripps Health
04.2019 - 06.2019
- Specimen Collections (venipuncture)
- Assisted in specimen processing
- Take messages and answer phones
- Assist with centrifuge and aliquot specimens
- Restock and supply exam rooms
- Verify patient information
- Communicate with lab specialists on special needs for tests
- Label vacationers and other specimens
- Communicate and empathize with patient
- Give patient education on tests
Medical Documentation Auditor
Avidity
11.2016 - 04.2019
- Review and verify all information on documents
- Communicate with co-workers and supervisors on a regular bases
- Manage time through out work schedule
- Document the amounts of documents that have been reviewed
- Worked on a deadline daily
Education
Medical Coding and Billing -
U.S Career Institute
Graduate Certificate - Medical Assistant
Pima Medical Institute
San Marcos, CA10.2020
Phlebotomy License - Phlebotomy
Pima Medical Institute
San Marcos, CA05.2019
Graduate Certificate - Administrative assistant/ Bookkeeping
California State University
San Marcos, CA12.2014
Skills
- Training & Development (6 years)
- Phlebotomy
- Medical Billing (5 years)
- Time Management (10 years)
- Laboratory Experience
- ICD-10
- Patient Care
- Medical Office Experience
- Medical Coding
- Medical Terminology
- Laboratory Procedures
- Customer Service (10 years)
- Computer Skills
- Venipuncture Experience (1 year)
- Medical Scheduling
- Insurance Verification
- CPT Coding
- Vital Signs
- Clerical Experience
- Anatomy Knowledge
- Data Entry (5 years)
- EMR Systems
- Organizational skills
- ICD Coding
- Data Analysis Skills (5 years)
- Experience Administering Injections
- Medical Records
- Phone Etiquette (10 years)
- Self Motivating (10 years)
- Team Building (10 years)
- Prior authorization process
- Medical terminology
- Insurance verification
- Patient referrals
- Data entry
- Electronic health records proficiency
- Medical terminology knowledge
- Benefit coverage
- Professionalism and ethics
- Retro-authorizations
Certification
- Administrative Assistant/ Bookkeeping December 2014 to Present Certified through California Sate University-San Marcos
- Certified Phlebotomy Technician I November 2019 to November 2021 California Department of Public Health Laboratory Field Services Licence Number- CPT-02033451
- National Certified Phlebotomy Technician October 2014 to October 2019 Certified through Multi-skilled Medical Certification Institute
- CPR Certification
Links
https://www.linkedin.com/in/kyrie-mcgill
Timeline
Prior Authorization Specialist
Advanced Diabetes Supply
11.2021 - 09.2022
Medical Assistant
Urgent care 3D
12.2020 - 09.2021
Medical Assistant Externship
Phamatech
09.2020 - 10.2020
Speciman processer/ phlebotomist
PHAMATECH, INC.
07.2020 - 01.2021
Phlebotomy Technician Internship
Scripps Health
04.2019 - 06.2019
Medical Documentation Auditor
Avidity
11.2016 - 04.2019
Medical Coding and Billing -
U.S Career Institute
Graduate Certificate - Medical Assistant
Pima Medical Institute
Phlebotomy License - Phlebotomy
Pima Medical Institute
Graduate Certificate - Administrative assistant/ Bookkeeping
California State University
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