Maria Dunn
Flint,MI
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
13
13
years of professional experience
Work History
Enrollment Specialist
McLaren Corporate
06.2024 - Current
- Updated, entered, and reviewed customer data.
- Communicated effectively via telephone, email, and in person with prospective customers.
- Enhanced customer service by promptly addressing inquiries and resolving issues in a timely manner.
- Conducted comprehensive applicant interviews to determine eligibility and fit for specific programs.
- Verify credentialing for Physicians, NP, PA through CAQH.
- Enroll Physicians and NP, PA into various insurances, Medicare, Champs, and BCBS.
Intake Specialist
Vitalcare Home Infusions
06.2022 - 03.2024
- Answered phone calls and provided new clients with required paperwork to initiate service.
- Increased customer satisfaction with timely follow-ups, ensuring all necessary documentation was collected and processed promptly.
- Completed intake assessment forms and filed clients' charts.
- Maintained high levels of accuracy and compliance in data entry, ensuring all information was correctly entered into the required systems.
- Verified medical and prescription insurance coverage
- Verified medical polices, fee schedules, calculated pricing for home infusions
- Collections for claims, wrote appeals for denials
Prior Authorization Specialist
Diplomat Specialty Pharmacy/ United Health Care
08.2014 - 06.2022
- 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.
- Verified eligibility and compliance with authorization requirements for service providers.
- Analyzed medical records and other documents to determine approval of requests for authorization.
Medical Assistant
Davison Pediatrics
09.2011 - 08.2020
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms, and allergies.
- Directed patients to exam rooms, fielded questions, and prepared for physician.
- Performed medical records management, including filing, organizing and scanning documents.
- Administered Vaccines, vital signs, used EMR.
- Schedules appointments, filed. used MICR
Education
Certificate -
Ross Medical Education Center
Flint, MI05.2010
High School Diploma -
Roscommon High School
Roscommon, MI06.1995
Skills
- Exceptional communication
- Reporting and Analytics
- Documentation Management
- Customer service expertise
- Data entry skills
- Provider Relations
- Benefits Administration
- Health insurance
- EMR
- Drawing Blood, Injections, taking vitals, calling in prescriptions
- Phone Skills
- Medical insurance portal experience
Timeline
Enrollment Specialist
McLaren Corporate
06.2024 - Current
Intake Specialist
Vitalcare Home Infusions
06.2022 - 03.2024
Prior Authorization Specialist
Diplomat Specialty Pharmacy/ United Health Care
08.2014 - 06.2022
Medical Assistant
Davison Pediatrics
09.2011 - 08.2020
Certificate -
Ross Medical Education Center
High School Diploma -
Roscommon High School
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