Organized professional knowledgeable in regulatory standards and compliance requirements. Confident Prior Authorization Specialist with a background spent working in medical offices, communicating effectively orally and through writing and developing prior authorization workflows. Hardworking Prior Authorization Specialist with successful background working closely with insurance company representatives to gain preapproval for procedures and testing. Detail-oriented performer with over 12 years of managing documentation. Considered team player with exemplary multitasking skills. Detailed Medical Assisting and Prior Authorization Specialist committed to never letting vital requests or documents go unprocessed. Diligent tracker of patient outcomes and caretaker feedback. Incorporates empathetic communications with professional best practices to satisfy plan members and business goals alike. Amiable Prior Authorization Representative with 12 years of connecting patients and healthcare providers to vital resources. Dedicated to executing on prescribed medical funding guidelines and policies. Maintains compassionate and sympathetic relations with consumers. Adept at balancing business interests with human-centric service models. Reliable Prior Authorization Specialist with over 12 years of experience working in fast-paced, office clinical environments. Bilingual professional with skill in prior authorization for patients, finding solutions to issues and tackling work tasks in busy office. Accommodating Works Advisor with 12 years of experience providing guidance to job seekers by recommending training activities, identifying skill gaps and discussing career and education options. Responsive and reliable professional proficient in job interview techniques and Epic, Webcharts, WebMD, Allscripts. Dedicated to increasing job opportunities by cultivating strong relationships with employers and job seekers. Supportive Eligibility Specialist with extensive application engagement and dedicated service skills. Bilingual professional with skill to maintain accurate records, schedule appointments and handle various administrative responsibilities. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Medical Assisting and Prior Authorization Specialist position. Ready to help team achieve company goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Prior Authorization Specialist
Oakland Neurology Center
10.2023 - 12.2023
Process prior authorizations for medications and radiology services
Called insurance companies and patients in regards to the authorization process.
Streamlined prior authorization processes by implementing efficient tracking systems.
Improved patient satisfaction with timely and accurate processing of prior authorizations for medications and procedures.
Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
Enhanced communication between healthcare providers and insurance companies, ensuring prompt resolution of issues related to prior authorizations.
Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
Assisted in the development of departmental guidelines and procedures for prior authorization processes, improving overall efficiency.
Provided training to new staff members on the intricacies of various insurance plans and their specific prior authorization requirements.
Contributed to a high level of customer service by quickly addressing questions or concerns from patients regarding their coverage or denials.
Managed a high volume of incoming calls, maintaining professionalism while effectively addressing the needs of callers seeking assistance with prior authorizations.
Coordinated with billing department to resolve discrepancies related to denied claims due to incomplete or incorrect prior authorizations.
Established strong relationships with key contacts at insurance companies, streamlining communication channels when resolving issues pertaining to approvals or denials.
Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
Maintained organized records and up-to-date files for all completed and pending authorization requests, ensuring easy access during audits or reviews.
Identified trends in denials through data analysis, adapting strategies accordingly for improved success rates in obtaining approvals.
Supported team members by providing guidance on complex cases requiring detailed understanding of medical necessity criteria.
Participated in cross-functional initiatives to improve overall efficiency and effectiveness of the prior authorization process for all involved parties.
Continually updated knowledge on industry developments, ensuring adherence to best practices and relevant regulatory changes impacting the prior authorization process.
Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.
Input all patient data regarding claims and prior authorizations into system accurately.
Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
Responded to inquiries from healthcare providers regarding prior authorization requests.
Verified eligibility and compliance with authorization requirements for service providers.
Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
Developed and maintained productive working relationships with healthcare providers.
Fielded telephone inquiries on authorization details from plan members and medical staff.
Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
Communicated with people from various cultures and backgrounds on application process.
Assisted clients with completion of applications and paperwork.
Reviewed applications for different aid programs and determined which qualification criteria for individuals.
Scheduled appointments with applicants to gather information and explain benefits processes.
Medical Assistant/Prior Authorization
Colleen Kennedy, D.O., P.C.
01.2022 - 09.2023
Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
Collaborated with interdisciplinary healthcare teams to provide coordinated care for patients in various settings.
Reduced wait times by swiftly processing insurance claims, verifying coverage, and obtaining pre-authorizations when necessary.
Maintained strict adherence to infection control protocols by following proper sterilization techniques for medical equipment.
Optimized appointment scheduling processes to minimize conflicts and maximize physician availability for patients.
Contributed to positive health outcomes by educating patients on preventative measures, treatment plans, and follow-up care instructions.
Assisted in the development of clinic policies and procedures to ensure compliance with industry standards and regulations.
Provided support during emergencies by administering first aid treatments under physician supervision until further assistance arrived.
Conducted community outreach events to promote wellness initiatives and expand access to healthcare services within the local area.
Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
Empowered patients through education on self-management techniques for chronic conditions such as diabetes or hypertension.
Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
Sanitized, restocked, and organized exam rooms and medical equipment.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Obtained client medical history, medication information, symptoms, and allergies.
Performed medical records management, including filing, organizing and scanning documents.
Documented vital signs and health history for patients in clinic and hospital environments.
Called and faxed pharmacies to submit prescriptions and refills.
Collected and documented patient medical information such as blood pressure and weight.
Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed.
Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
Completed clinical procedures and gathered patient data for interpretation by physician.
Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
Taught patients about medications, procedures, and care plan instructions.
Verified patient insurance coverage and collected required co-payments.
Obtained and documented patient medical history, vital signs and current complaints at intake.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Completed EKGs and other tests based on patient presentation in office.
Explained procedures to patients to reduce anxieties and increase patient cooperation.
Oriented and trained new staff on proper procedures and policies.
Updated inventory, expiration and vaccine logs to maintain current tracking documentation.
Helped improve patient outcomes by educating and advising on relevant treatments and care.
Measured patient pulse oximetry.
Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
Liaised with patients and addressed inquiries, appointment requests and billing questions.
Implemented care and efficiency improvements to support and enhance office operations.
Collected pertinent data and calculations to aid physician in interpreting results.
Streamlined prior authorization processes by implementing efficient tracking systems.
Improved patient satisfaction with timely and accurate processing of prior authorizations for medications and procedures.
Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
Enhanced communication between healthcare providers and insurance companies, ensuring prompt resolution of issues related to prior authorizations.
Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
Assisted in the development of departmental guidelines and procedures for prior authorization processes, improving overall efficiency.
Provided training to new staff members on the intricacies of various insurance plans and their specific prior authorization requirements.
Contributed to a high level of customer service by quickly addressing questions or concerns from patients regarding their coverage or denials.
Managed a high volume of incoming calls, maintaining professionalism while effectively addressing the needs of callers seeking assistance with prior authorizations.
Conducted regular audits to ensure compliance with regulatory standards and insurance company policies related to the approval process.
Coordinated with billing department to resolve discrepancies related to denied claims due to incomplete or incorrect prior authorizations.
Established strong relationships with key contacts at insurance companies, streamlining communication channels when resolving issues pertaining to approvals or denials.
Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
Maintained organized records and up-to-date files for all completed and pending authorization requests, ensuring easy access during audits or reviews.
Identified trends in denials through data analysis, adapting strategies accordingly for improved success rates in obtaining approvals.
Supported team members by providing guidance on complex cases requiring detailed understanding of medical necessity criteria.
Participated in cross-functional initiatives to improve overall efficiency and effectiveness of the prior authorization process for all involved parties.
Continually updated knowledge on industry developments, ensuring adherence to best practices and relevant regulatory changes impacting the prior authorization process.
Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.
Responded to inquiries from healthcare providers regarding prior authorization requests.
Input all patient data regarding claims and prior authorizations into system accurately.
Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
Analyzed medical records and other documents to determine approval of requests for authorization.
Verified eligibility and compliance with authorization requirements for service providers.
Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
Fielded telephone inquiries on authorization details from plan members and medical staff.
Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
Developed and maintained productive working relationships with healthcare providers.
Assisted clients with completion of applications and paperwork.
Communicated with people from various cultures and backgrounds on application process.
Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
Scheduled appointments with applicants to gather information and explain benefits processes.
Reviewed applications for different aid programs and determined which qualification criteria for individuals.
Medical Assistant
Great Lakes Foot & Ankle Institute, PC
03.2021 - 01.2022
Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
Sanitized, restocked, and organized exam rooms and medical equipment.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Obtained client medical history, medication information, symptoms, and allergies.
Collected and documented patient medical information such as blood pressure and weight.
Called and faxed pharmacies to submit prescriptions and refills.
Documented vital signs and health history for patients in clinic and hospital environments.
Assisted with routine checks and diagnostic testing by collecting and processing specimens.
Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
Completed clinical procedures and gathered patient data for interpretation by physician.
Taught patients about medications, procedures, and care plan instructions.
Obtained and documented patient medical history, vital signs and current complaints at intake.
Prepared lab specimens for diagnostic evaluation.
Explained procedures to patients to reduce anxieties and increase patient cooperation.
Oriented and trained new staff on proper procedures and policies.
Measured patient pulse oximetry.
Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
Collected pertinent data and calculations to aid physician in interpreting results.
Followed appropriate procedures to minimize patient's exposure to radiation.
Conducted monthly and quarterly inventory of supplies using facility cost reporting records.
Helped improve patient outcomes by educating and advising on relevant treatments and care.
Updated inventory, expiration and vaccine logs to maintain current tracking documentation.
Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
Aided in accurate diagnoses by performing laboratory tests and preparing specimens for analysis.
Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
Empowered patients through education on self-management techniques for chronic conditions such as diabetes or hypertension.
Provided support during emergencies by administering first aid treatments under physician supervision until further assistance arrived.
Contributed to positive health outcomes by educating patients on preventative measures, treatment plans, and follow-up care instructions.
Maintained strict adherence to infection control protocols by following proper sterilization techniques for medical equipment.
Collaborated with interdisciplinary healthcare teams to provide coordinated care for patients in various settings.
Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
Streamlined office operations by managing inventory levels, ordering supplies, and organizing storage areas.
Front Desk Medical Receptionist
Partridge Creek OBGYN
01.2020 - 03.2021
Enhanced patient satisfaction by consistently providing friendly and efficient service at the front desk.
Streamlined appointment scheduling processes, resulting in reduced wait times for patients.
Ensured HIPAA compliance by maintaining strict confidentiality with all patient records and information.
Facilitated smooth office operations by managing multi-line phone systems and directing calls to appropriate staff members.
Improved office efficiency by organizing and maintaining accurate patient files and records.
Assisted with insurance verification tasks, expediting the billing process for both patients and providers.
Contributed to a positive work environment through effective communication with colleagues and supervisors.
Increased accuracy in data entry tasks by regularly updating patient demographics and insurance information.
Managed a high volume of incoming calls, addressing inquiries, and providing exceptional customer service to patients.
Provided vital support during peak hours by efficiently handling walk-ins, check-ins, and appointment scheduling duties.
Reduced errors in medical recordkeeping by meticulously reviewing documentation for accuracy before filing or distributing it.
Served as a liaison between patients and healthcare providers, ensuring clear communication of necessary information.
Maintained a well-stocked reception area, creating a welcoming atmosphere for patients upon arrival.
Provided administrative support to medical staff, assisting with various clerical tasks as needed.
Expedited patient registration processes by gathering necessary paperwork from new arrivals promptly upon their arrival at the front desk.
Collaborated with other team members on specific projects aimed at improving overall office organization and workflow efficiency.
Coordinated appointment reminders for patients via phone calls or email notifications, reducing no-show rates.
Handled financial transactions related to copayments or self-pay fees while adhering to company policies regarding payment collection.
Assisted patients experiencing difficulties navigating online patient portal, troubleshooting issues and providing guidance as needed.
Proactively addressed potential conflicts or problems in appointment scheduling, resolving issues to ensure seamless patient experiences.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Adhered to strict HIPAA guidelines to protect patient privacy.
Checked patient insurance, demographic, and health history to keep information current.
Helped patients complete necessary medical forms and documentation.
Managed multi-line phone system and pleasantly greeted patients.
Organized paperwork such as charts and reports for office and patient needs.
Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
Used computer programs and registration systems to schedule patients for routine and complex procedures.
Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
Completed clerical duties and tasks for clinic administration.
Transcribed phone messages and relayed to appropriate personnel.
Maintained current and accurate medical records for patients.
Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
Completed patient referrals to other medical specialists.
Supported office staff and operational requirements with administrative tasks.
Notified manager of incidents and potential incidents relating to patients and staff for swift action.
Invoiced patients accurately in line with charging guidelines.
Printed prescription requests and queries in compliance with practice protocol.
Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
Obtained payments from patients and scanned identification and insurance cards.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Performed various administrative tasks by filing, copying and faxing documents.
Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
Managed office logistics by scheduling appointments, maintaining files and collecting payments.
Organized and maintained patient chart filing system to promote quick data finding for staff.
Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
Completed administrative patient intakes with case histories, insurance information and mandated forms.
Greeted visitors and initiated triage processes for clients to streamline patient flow.
Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
Registered and verified patient records before triage with most up-to-date information.
Answered phone calls and messages for [Number]-physician [Type] medical facility, scheduling appointments, and handling patient inquiries.
Prepared and processed patient referrals and transfer requests.
Managed office bookkeeping with insurance billing and patient payments.
Placed new supply orders, managed inventory and restocked clerical spaces.
Received and routed laboratory results to correct clinical staff members.
Conducted patient intake interviews, recording and documenting relevant information.
Medical Assistant
Karmanos Cancer Institute/Wayne State University
08.2019 - 01.2020
Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
Streamlined office operations by managing inventory levels, ordering supplies, and organizing storage areas.
Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
Collaborated with interdisciplinary healthcare teams to provide coordinated care for patients in various settings.
Maintained strict adherence to infection control protocols by following proper sterilization techniques for medical equipment.
Contributed to positive health outcomes by educating patients on preventative measures, treatment plans, and follow-up care instructions.
Assisted in the development of clinic policies and procedures to ensure compliance with industry standards and regulations.
Provided support during emergencies by administering first aid treatments under physician supervision until further assistance arrived.
Conducted community outreach events to promote wellness initiatives and expand access to healthcare services within the local area.
Empowered patients through education on self-management techniques for chronic conditions such as diabetes or hypertension.
Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
Aided in accurate diagnoses by performing laboratory tests and preparing specimens for analysis.
Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
Sanitized, restocked, and organized exam rooms and medical equipment.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Obtained client medical history, medication information, symptoms, and allergies.
Performed medical records management, including filing, organizing and scanning documents.
Collected and documented patient medical information such as blood pressure and weight.
Called and faxed pharmacies to submit prescriptions and refills.
Documented vital signs and health history for patients in clinic and hospital environments.
Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed.
Assisted with routine checks and diagnostic testing by collecting and processing specimens.
Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
Completed clinical procedures and gathered patient data for interpretation by physician.
Taught patients about medications, procedures, and care plan instructions.
Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
Obtained and documented patient medical history, vital signs and current complaints at intake.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Oriented and trained new staff on proper procedures and policies.
Measured patient pulse oximetry.
Helped improve patient outcomes by educating and advising on relevant treatments and care.
Collected pertinent data and calculations to aid physician in interpreting results.
Implemented care and efficiency improvements to support and enhance office operations.
Conducted monthly and quarterly inventory of supplies using facility cost reporting records.
Medical Assistant
All Patient's Urgent Care
01.2020 - 01.2020
Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
Streamlined office operations by managing inventory levels, ordering supplies, and organizing storage areas.
Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
Collaborated with interdisciplinary healthcare teams to provide coordinated care for patients in various settings.
Reduced wait times by swiftly processing insurance claims, verifying coverage, and obtaining pre-authorizations when necessary.
Maintained strict adherence to infection control protocols by following proper sterilization techniques for medical equipment.
Optimized appointment scheduling processes to minimize conflicts and maximize physician availability for patients.
Contributed to positive health outcomes by educating patients on preventative measures, treatment plans, and follow-up care instructions.
Assisted in the development of clinic policies and procedures to ensure compliance with industry standards and regulations.
Provided support during emergencies by administering first aid treatments under physician supervision until further assistance arrived.
Conducted community outreach events to promote wellness initiatives and expand access to healthcare services within the local area.
Empowered patients through education on self-management techniques for chronic conditions such as diabetes or hypertension.
Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
Aided in accurate diagnoses by performing laboratory tests and preparing specimens for analysis.
Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
Sanitized, restocked, and organized exam rooms and medical equipment.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Obtained client medical history, medication information, symptoms, and allergies.
Performed medical records management, including filing, organizing and scanning documents.
Collected and documented patient medical information such as blood pressure and weight.
Called and faxed pharmacies to submit prescriptions and refills.
Documented vital signs and health history for patients in clinic and hospital environments.
Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed.
Assisted with routine checks and diagnostic testing by collecting and processing specimens.
Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
Completed clinical procedures and gathered patient data for interpretation by physician.
Taught patients about medications, procedures, and care plan instructions.
Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
Verified patient insurance coverage and collected required co-payments.
Obtained and documented patient medical history, vital signs and current complaints at intake.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Completed EKGs and other tests based on patient presentation in office.
Prepared lab specimens for diagnostic evaluation.
Explained procedures to patients to reduce anxieties and increase patient cooperation.
Oriented and trained new staff on proper procedures and policies.
Measured patient pulse oximetry.
Helped improve patient outcomes by educating and advising on relevant treatments and care.
Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
Collected pertinent data and calculations to aid physician in interpreting results.
Implemented care and efficiency improvements to support and enhance office operations.
Liaised with patients and addressed inquiries, appointment requests and billing questions.
Conducted monthly and quarterly inventory of supplies using facility cost reporting records.
Measured patient spirometry.
Followed appropriate procedures to minimize patient's exposure to radiation.
Medical Assistant
Oakland Neurology
01.2017 - 08.2019
Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
Streamlined office operations by managing inventory levels, ordering supplies, and organizing storage areas.
Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
Collaborated with interdisciplinary healthcare teams to provide coordinated care for patients in various settings.
Reduced wait times by swiftly processing insurance claims, verifying coverage, and obtaining pre-authorizations when necessary.
Maintained strict adherence to infection control protocols by following proper sterilization techniques for medical equipment.
Optimized appointment scheduling processes to minimize conflicts and maximize physician availability for patients.
Contributed to positive health outcomes by educating patients on preventative measures, treatment plans, and follow-up care instructions.
Assisted in the development of clinic policies and procedures to ensure compliance with industry standards and regulations.
Provided support during emergencies by administering first aid treatments under physician supervision until further assistance arrived.
Conducted community outreach events to promote wellness initiatives and expand access to healthcare services within the local area.
Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
Empowered patients through education on self-management techniques for chronic conditions such as diabetes or hypertension.
Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
Aided in accurate diagnoses by performing laboratory tests and preparing specimens for analysis.
Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
Sanitized, restocked, and organized exam rooms and medical equipment.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Obtained client medical history, medication information, symptoms, and allergies.
Performed medical records management, including filing, organizing and scanning documents.
Collected and documented patient medical information such as blood pressure and weight.
Called and faxed pharmacies to submit prescriptions and refills.
Documented vital signs and health history for patients in clinic and hospital environments.
Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed.
Assisted with routine checks and diagnostic testing by collecting and processing specimens.
Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
Completed clinical procedures and gathered patient data for interpretation by physician.
Taught patients about medications, procedures, and care plan instructions.
Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
Verified patient insurance coverage and collected required co-payments.
Obtained and documented patient medical history, vital signs and current complaints at intake.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Prepared lab specimens for diagnostic evaluation.
Explained procedures to patients to reduce anxieties and increase patient cooperation.
Oriented and trained new staff on proper procedures and policies.
Updated inventory, expiration and vaccine logs to maintain current tracking documentation.
Helped improve patient outcomes by educating and advising on relevant treatments and care.
Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
Collected pertinent data and calculations to aid physician in interpreting results.
Implemented care and efficiency improvements to support and enhance office operations.
Liaised with patients and addressed inquiries, appointment requests and billing questions.
Conducted monthly and quarterly inventory of supplies using facility cost reporting records.
Followed appropriate procedures to minimize patient's exposure to radiation.
Medical Assistant
Great Lakes Pediatrics
10.2016 - 12.2016
Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
Streamlined office operations by managing inventory levels, ordering supplies, and organizing storage areas.
Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
Collaborated with interdisciplinary healthcare teams to provide coordinated care for patients in various settings.
Reduced wait times by swiftly processing insurance claims, verifying coverage, and obtaining pre-authorizations when necessary.
Maintained strict adherence to infection control protocols by following proper sterilization techniques for medical equipment.
Optimized appointment scheduling processes to minimize conflicts and maximize physician availability for patients.
Contributed to positive health outcomes by educating patients on preventative measures, treatment plans, and follow-up care instructions.
Assisted in the development of clinic policies and procedures to ensure compliance with industry standards and regulations.
Provided support during emergencies by administering first aid treatments under physician supervision until further assistance arrived.
Conducted community outreach events to promote wellness initiatives and expand access to healthcare services within the local area.
Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
Empowered patients through education on self-management techniques for chronic conditions such as diabetes or hypertension.
Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
Aided in accurate diagnoses by performing laboratory tests and preparing specimens for analysis.
Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
Sanitized, restocked, and organized exam rooms and medical equipment.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Obtained client medical history, medication information, symptoms, and allergies.
Performed medical records management, including filing, organizing and scanning documents.
Collected and documented patient medical information such as blood pressure and weight.
Called and faxed pharmacies to submit prescriptions and refills.
Documented vital signs and health history for patients in clinic and hospital environments.
Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed.
Assisted with routine checks and diagnostic testing by collecting and processing specimens.
Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
Completed clinical procedures and gathered patient data for interpretation by physician.
Taught patients about medications, procedures, and care plan instructions.
Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
Verified patient insurance coverage and collected required co-payments.
Obtained and documented patient medical history, vital signs and current complaints at intake.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Completed EKGs and other tests based on patient presentation in office.
Prepared lab specimens for diagnostic evaluation.
Explained procedures to patients to reduce anxieties and increase patient cooperation.
Oriented and trained new staff on proper procedures and policies.
Updated inventory, expiration and vaccine logs to maintain current tracking documentation.
Measured patient pulse oximetry.
Helped improve patient outcomes by educating and advising on relevant treatments and care.
Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
Collected pertinent data and calculations to aid physician in interpreting results.
Implemented care and efficiency improvements to support and enhance office operations.
Liaised with patients and addressed inquiries, appointment requests and billing questions.
Conducted monthly and quarterly inventory of supplies using facility cost reporting records.
Measured patient spirometry.
Followed appropriate procedures to minimize patient's exposure to radiation.
Medical Assistant
SilverPine Family Physicians
06.2016 - 09.2016
Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
Streamlined office operations by managing inventory levels, ordering supplies, and organizing storage areas.
Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
Collaborated with interdisciplinary healthcare teams to provide coordinated care for patients in various settings.
Reduced wait times by swiftly processing insurance claims, verifying coverage, and obtaining pre-authorizations when necessary.
Maintained strict adherence to infection control protocols by following proper sterilization techniques for medical equipment.
Optimized appointment scheduling processes to minimize conflicts and maximize physician availability for patients.
Contributed to positive health outcomes by educating patients on preventative measures, treatment plans, and follow-up care instructions.
Assisted in the development of clinic policies and procedures to ensure compliance with industry standards and regulations.
Provided support during emergencies by administering first aid treatments under physician supervision until further assistance arrived.
Conducted community outreach events to promote wellness initiatives and expand access to healthcare services within the local area.
Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
Empowered patients through education on self-management techniques for chronic conditions such as diabetes or hypertension.
Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
Aided in accurate diagnoses by performing laboratory tests and preparing specimens for analysis.
Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
Sanitized, restocked, and organized exam rooms and medical equipment.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Obtained client medical history, medication information, symptoms, and allergies.
Performed medical records management, including filing, organizing and scanning documents.
Collected and documented patient medical information such as blood pressure and weight.
Called and faxed pharmacies to submit prescriptions and refills.
Documented vital signs and health history for patients in clinic and hospital environments.
Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed.
Assisted with routine checks and diagnostic testing by collecting and processing specimens.
Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
Completed clinical procedures and gathered patient data for interpretation by physician.
Taught patients about medications, procedures, and care plan instructions.
Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
Verified patient insurance coverage and collected required co-payments.
Obtained and documented patient medical history, vital signs and current complaints at intake.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Completed EKGs and other tests based on patient presentation in office.
Prepared lab specimens for diagnostic evaluation.
Explained procedures to patients to reduce anxieties and increase patient cooperation.
Oriented and trained new staff on proper procedures and policies.
Updated inventory, expiration and vaccine logs to maintain current tracking documentation.
Measured patient pulse oximetry.
Helped improve patient outcomes by educating and advising on relevant treatments and care.
Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
Collected pertinent data and calculations to aid physician in interpreting results.
Implemented care and efficiency improvements to support and enhance office operations.
Liaised with patients and addressed inquiries, appointment requests and billing questions.
Conducted monthly and quarterly inventory of supplies using facility cost reporting records.
Measured patient spirometry.
Followed appropriate procedures to minimize patient's exposure to radiation.
Medical Assistant
Stonebrooke Family Physicians
05.2012 - 06.2016
Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
Streamlined office operations by managing inventory levels, ordering supplies, and organizing storage areas.
Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
Collaborated with interdisciplinary healthcare teams to provide coordinated care for patients in various settings.
Reduced wait times by swiftly processing insurance claims, verifying coverage, and obtaining pre-authorizations when necessary.
Maintained strict adherence to infection control protocols by following proper sterilization techniques for medical equipment.
Optimized appointment scheduling processes to minimize conflicts and maximize physician availability for patients.
Contributed to positive health outcomes by educating patients on preventative measures, treatment plans, and follow-up care instructions.
Assisted in the development of clinic policies and procedures to ensure compliance with industry standards and regulations.
Provided support during emergencies by administering first aid treatments under physician supervision until further assistance arrived.
Conducted community outreach events to promote wellness initiatives and expand access to healthcare services within the local area.
Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
Empowered patients through education on self-management techniques for chronic conditions such as diabetes or hypertension.
Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
Aided in accurate diagnoses by performing laboratory tests and preparing specimens for analysis.
Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
Sanitized, restocked, and organized exam rooms and medical equipment.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Obtained client medical history, medication information, symptoms, and allergies.
Performed medical records management, including filing, organizing and scanning documents.
Collected and documented patient medical information such as blood pressure and weight.
Called and faxed pharmacies to submit prescriptions and refills.
Documented vital signs and health history for patients in clinic and hospital environments.
Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed.
Assisted with routine checks and diagnostic testing by collecting and processing specimens.
Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
Completed clinical procedures and gathered patient data for interpretation by physician.
Taught patients about medications, procedures, and care plan instructions.
Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
Verified patient insurance coverage and collected required co-payments.
Obtained and documented patient medical history, vital signs and current complaints at intake.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Completed EKGs and other tests based on patient presentation in office.
Prepared lab specimens for diagnostic evaluation.
Explained procedures to patients to reduce anxieties and increase patient cooperation.
Oriented and trained new staff on proper procedures and policies.
Updated inventory, expiration and vaccine logs to maintain current tracking documentation.
Measured patient pulse oximetry.
Helped improve patient outcomes by educating and advising on relevant treatments and care.
Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
Collected pertinent data and calculations to aid physician in interpreting results.
Implemented care and efficiency improvements to support and enhance office operations.
Liaised with patients and addressed inquiries, appointment requests and billing questions.
Conducted monthly and quarterly inventory of supplies using facility cost reporting records.
Measured patient spirometry.
Followed appropriate procedures to minimize patient's exposure to radiation.
Medical Assistant - Externship
Dr. Richard's and Richardson
04.2012 - 05.2012
Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
Streamlined office operations by managing inventory levels, ordering supplies, and organizing storage areas.
Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
Collaborated with interdisciplinary healthcare teams to provide coordinated care for patients in various settings.
Reduced wait times by swiftly processing insurance claims, verifying coverage, and obtaining pre-authorizations when necessary.
Maintained strict adherence to infection control protocols by following proper sterilization techniques for medical equipment.
Optimized appointment scheduling processes to minimize conflicts and maximize physician availability for patients.
Contributed to positive health outcomes by educating patients on preventative measures, treatment plans, and follow-up care instructions.
Assisted in the development of clinic policies and procedures to ensure compliance with industry standards and regulations.
Provided support during emergencies by administering first aid treatments under physician supervision until further assistance arrived.
Conducted community outreach events to promote wellness initiatives and expand access to healthcare services within the local area.
Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
Empowered patients through education on self-management techniques for chronic conditions such as diabetes or hypertension.
Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
Aided in accurate diagnoses by performing laboratory tests and preparing specimens for analysis.
Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
Sanitized, restocked, and organized exam rooms and medical equipment.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Obtained client medical history, medication information, symptoms, and allergies.
Performed medical records management, including filing, organizing and scanning documents.
Documented vital signs and health history for patients in clinic and hospital environments.
Called and faxed pharmacies to submit prescriptions and refills.
Collected and documented patient medical information such as blood pressure and weight.
Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed.
Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
Assisted with routine checks and diagnostic testing by collecting and processing specimens.
Completed clinical procedures and gathered patient data for interpretation by physician.
Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
Taught patients about medications, procedures, and care plan instructions.
Verified patient insurance coverage and collected required co-payments.
Obtained and documented patient medical history, vital signs and current complaints at intake.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Completed EKGs and other tests based on patient presentation in office.
Prepared lab specimens for diagnostic evaluation.
Explained procedures to patients to reduce anxieties and increase patient cooperation.
Oriented and trained new staff on proper procedures and policies.
Updated inventory, expiration and vaccine logs to maintain current tracking documentation.
Helped improve patient outcomes by educating and advising on relevant treatments and care.
Measured patient pulse oximetry.
Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
Liaised with patients and addressed inquiries, appointment requests and billing questions.
Implemented care and efficiency improvements to support and enhance office operations.
Collected pertinent data and calculations to aid physician in interpreting results.
Conducted monthly and quarterly inventory of supplies using facility cost reporting records.
Measured patient spirometry.
Followed appropriate procedures to minimize patient's exposure to radiation.
Correspondence Representative
Allegra Direct-Blue Cross Blue Shield
06.2007 - 03.2012
Increased customer satisfaction by addressing and resolving complaints in a timely manner.
Enhanced company reputation by providing exceptional customer service and support.
Answer phones for doctors and members of Blue Cross Blue Shield insurance for the Federal Government
Work with claims, billing, and different types of medical coverage
High knowledge of the type of program and benefits we offer
Provide information regarding the process with how/why insurance claims are paid or denied
Document every call in detail
Answer between 60 and 70 calls on average per day
Knowledgeable with use of computer keyboard/typing, modem, monitor, mouse, printer
Other office duties include faxing of information to doctor's offices, proving letters on inquiry, and handling checks if there is an amount in error or need to reissue payments
Document thorough notes in system for other team members to view and understand
Dispose of confidential documents accordingly
Update addresses, patient information, and additional information into computer system
Prepare correspondence and memorandums for customers and team members
Perform multiple tasks as requested
Keep inquiries organized by using a filing system
Label folders and keep important notes for my records
Assure policies/procedures are followed accordingly.
Education
Medical Assistant Certificate - Medical Assisting
Carnegie Institute
Troy, MI
03.2012
Skills
Process Improvement Strategies
Data Entry
Claim Research
Medicare and Medicaid Knowledge
Benefit Coverage
Billing Procedures
Medical Coding
Retro-Authorizations
Patient Referrals
Records Maintenance
Workflow Management
Insurance Verification
Proficiency in Epic, Webcharts, Allscripts, AIM, AthenaHealth, WebMD
Effective Communication Skills
Medical Terminology Knowledge
Provider Relations
Prescription Coordination
Issue Research
Critical Thinking Abilities
Understanding of Medical Terms
Insurance Procedures
Performance Metrics Analysis
Understanding of Insurance Details
Medical Terminology
Physician Order Verification
Knowledgeable in [Software]
Authorizations
Pharmacology
Patient Scheduling
Medical Office Procedures
CPT Coding Knowledge
Interpersonal Skills
Attention to Detail
Analytical Skills
Customer Service Orientation
Medical Coding Expertise
HIPAA Compliance Knowledge
Electronic Health Records Proficiency
Utilization Review Experience
Telephone Etiquette
Quality Assurance Practices
Patient Confidentiality Compliance
Computer Literacy
ICD-10 Coding Familiarity
Teamwork and Collaboration
Adaptability and Flexibility
Time Management Abilities
Professionalism and Ethics
Prior Authorization Process
Medical Appeals Handling
Pharmacy Benefit Management
Healthcare Regulations Understanding
Multitasking Capabilities
Medical Billing Procedures
Organizational Skills
Clinical Documentation Improvement
Claims Processing Experience
Data Entry Accuracy
Training and Development
Application Support
Appointment Scheduling
Schedule Management
Referral Coordination
Eligibility Determination
Payment Collection
Documentation and Paperwork
Data Compilation
Applicant Engagement
Application Review
Resource Information
Program Knowledge
Fraud Investigation
Certification
Certified Medical Assistant, 2012 - Present
Additional Information
Knowledge and Skills
Demonstrates an understanding of anatomy, physiology, and medical terminology
Assist with patient care management, prepare patient for physical examination
Assist with general exam and specialty exam procedures and treatment
Identify medical and surgical instruments and set up sterile tray for physician
Identify suture designs, materials, and perform suture removal
Utilize sterile technique
Measure patients TPR, obtain blood pressure
Administer injections and dispense medication as directed by physician
Perform ECG testing procedures
Perform PFT peak flow, breathing treatments
Perform accurate documentation
Perform phlebotomy procedures
Administer BLS through AHA
Administer hearing and vision testing; perform eye and ear irrigations
Perform urinary catheterization
Perform CLIA waived CBC, routine blood chemistry determinations, and other blood tests
Perform physical, chemical and microscopic examination of the urine
Perform routine CLIA waived microbiological procedures
Perform various medical administrative duties including insurance coding and billing
Apply HIPAA/ OSHA guidelines
Adhere to the principles of medical law and ethics as applied to the role of the Medical Assistant
Personal Information
Work Permit: Authorized to work in the US for any employer
Medical office Scribe – Multiple Sclerosis Resource at Center for Neurology l Multiple Sclerosis Center for ArizonaMedical office Scribe – Multiple Sclerosis Resource at Center for Neurology l Multiple Sclerosis Center for Arizona