Megan Rico
Indianapolis,IN
Work Preference
Overview
8
8
years of professional experience
Work History
Medical Assistant
Hendricks Regional Health
05.2025 - Current
- Managed patient records using electronic health record EPIC system.
- Processed prior authorization requests efficiently, ensuring adherence to regulatory guidelines.
- Reviewed medical documentation for completeness and accuracy to support authorization determinations.
- Communicated with patients regarding their authorization status and next steps in the process.
- Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.
- Assisted with patient check-in procedures, ensuring smooth reception processes.
- Communicated effectively with patients regarding insurance inquiries and billing issues.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
- Contributed to a positive work environment by collaborating effectively with colleagues and supporting team initiatives.
- Transcribed phone messages and relayed to appropriate personnel.
- Coordinated specialist referrals for patients requiring additional care, facilitating efficient transfer of medical records as needed.
- Facilitated effective communication between patients, medical staff, and insurance companies to ensure seamless coordination of care.
- Collected and processed specimens for laboratory testing accurately.
- Prepared examination rooms and ensured cleanliness standards were met.
- Performed medical records management, including filing, organizing and scanning documents.
- Coordinated patient referrals to ensure timely access to specialized care
- Maintained accurate records in electronic health systems for tracking referrals
Prior Authorization Specialist- Aveanna Healthcare
LHH Staffing
12.2023 - 04.2024
- Reviewed prior authorization requests to ensure compliance with insurance guidelines.
- Utilized electronic medical record systems to track authorization statuses and updates.
- Resolved discrepancies in authorization requests through detailed analysis and follow-up.
- Adapted quickly to changes in insurance policies and procedures, ensuring accurate processing of requests.
- Verified eligibility and compliance with authorization requirements for service providers.
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Excellent communication skills, both verbal and written.
- Managed time efficiently in order to complete all tasks within deadlines.
- Paid attention to detail while completing assignments.
- Demonstrated strong organizational and time management skills while managing multiple projects.
Administrative Assistant- Renissance Dental
Express Pros South
01.2022 - 04.2023
- Ensured accurate data entry by meticulously reviewing patient information and test requests.
- Assisted in generating reports by compiling and organizing data from multiple sources.
- Managed electronic filing systems to streamline document retrieval and enhance efficiency.
- Trained new staff on data entry protocols and best practices for system usage.
- Collaborated with team members to improve data entry processes and reduce turnaround times.
- Conducted regular audits of data entries to uphold quality standards within the department.
- Reduced errors and increased efficiency through thorough proofreading and editing of entered data.
- Reported statistics requested by senior management accounting for database growth and call volume.
- Participated in weekly conference calls with management to discuss department updates and strategies.
- Used computer software to store and retrieve data.
- Updated and maintained customer information, documents and records.
- Created spreadsheets for more efficient recordkeeping.
Medical Assistant
Health Net
08.2018 - 06.2021
- Assisted healthcare professionals with patient examinations and procedures.
- Managed patient records using electronic health record ECW systems.
- Scheduled appointments and coordinated patient flows efficiently.
- Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
- Coordinated with healthcare providers and insurance companies to facilitate timely approvals.
- Utilized electronic health record systems to track and manage authorization workflows effectively.
- Identified discrepancies in submitted information and collaborated with relevant stakeholders for resolution.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
- Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
- Provided training to new staff members on the intricacies of various insurance plans and their specific prior authorization requirements.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Maintained detailed records and documentation related to prior authorization requests, ensuring accurate tracking and reporting for both internal and external stakeholders.
Education
Certificate - Medical Billing And Coding
Indiana Institute of Technology
Fort Wayne, IN04-2026
Medical Assistant Diploma -
Brightwood College
Indianapolis, IN08-2017
Skills
- HIPAA compliance
- Medical terminology knowledge
- EMR / EHR including EPIC, CERNER and ECW
- Clinical documentation
- Data entry
- Insurance verification
- Prior authorization process
- Effective communication skills
- Patient referrals
- Electronic health records proficiency
- Problem-solving
- Multitasking
- Time management
- Attention to detail
- Problem-solving abilities
- Organizational skills
- Flexibility
- Time management abilities
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse
Timeline
Medical Assistant
Hendricks Regional Health
05.2025 - Current
Prior Authorization Specialist- Aveanna Healthcare
LHH Staffing
12.2023 - 04.2024
Administrative Assistant- Renissance Dental
Express Pros South
01.2022 - 04.2023
Medical Assistant
Health Net
08.2018 - 06.2021
Certificate - Medical Billing And Coding
Indiana Institute of Technology
Medical Assistant Diploma -
Brightwood College