Linette Akins
Englewood,NJ
Summary
Seasoned Authorization Representative with extensive experience in overseeing Hematology/Oncology authorization requests while ensuring compliance with both company policies and regulatory requirements. Demonstrate strong problem-solving skills and effective communication abilities. Proficient in medical terminology and insurance processes, aiming to streamline authorization procedures further.
Overview
27
27
years of professional experience
Work History
Physician Precertifier
Englewood Health
Englewood, NJ
12.2005 - Current
- Serve efficiently as part of the precertification team in the outpatient Infusion Center.
- Gather necessary clinical information from the physician's office for case review.
- Verify insurance coverage, review cases for all chemotherapy treatments and therapies, diagnostic scans, CT, MRI, PET/CT, and bone scans.
- Obtain authorizations via the web portal or phone, and submit documentation as requested.
- Initiate appeals to address denied authorizations.
- Ensured updated authorization status information is shared with patients and medical staff.
MEDICAL BILLER
OB/GYN OF TENAFLY
09.2002 - 12.2005
- Coded diagnoses and procedures based on office visits.
- Scheduled and pre-certified surgeries, and made all necessary arrangements to coordinate with MDs and patients.
- Generated A/R reports for end-of-month follow-ups and collections.
- Ensured accurate recording of payment transactions.
- Assisted in managing the daily operations of the adjoining Women's Center.
CASE INFORMATION REP.
IMPATH LABORATORIES INC.
NEW YORK, NY
05.1998 - 09.2002
- Managed incoming oncology cases for data entry.
- Tracked inquiries by documenting incoming calls related to institutions and MDs.
- Collaborated with pathologist to obtain case status and diagnostic information.
Education
Certificate - Medical Billing Specialist
Allied Medical Institute
Wayne, NJBachelor of Science - Health Service Management
Berkeley College
Woodland Park, NJSkills
- EPIC
- EMR
- Microsoft Office
- ICD 10/ HCPCS coding
- Medical terminology
- Insurance verification
- Authorization management
- Appeals processing
Certification
CPR
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeWork Location
HybridRemoteOn-SiteImportant To Me
Work-life balanceCompany CultureHealthcare benefitsPersonal development programsWork from home optionPaid time offPaid sick leave401k match4-day work weekTimeline
Physician Precertifier
Englewood Health
12.2005 - Current
MEDICAL BILLER
OB/GYN OF TENAFLY
09.2002 - 12.2005
CASE INFORMATION REP.
IMPATH LABORATORIES INC.
05.1998 - 09.2002
Certificate - Medical Billing Specialist
Allied Medical Institute
Bachelor of Science - Health Service Management
Berkeley College
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