Monyea Manning
Houston
Summary
Proven expertise in streamlining patient care and authorization processes in the Dermatology field, achieving a high success rate in prior authorizations through meticulous clinical documentation and effective communication. Skilled in HIPAA compliance and fostering patient relations, significantly enhancing patient experiences and operational efficiency.
Overview
8
8
years of professional experience
1
1
year of post-secondary education
Work History
Desk Medical Assistant/Biologic Coordinator/Prior Authorization Specialist
Advanced Dermatology
07.2024 - Current
- 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.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Verified eligibility and compliance with authorization requirements for service providers.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
- Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.
- Assisted in troubleshooting complex issues within the biologics process, contributing to swift resolutions and minimal downtime.
- Established strong working relationships with vendors and suppliers to secure high-quality materials at competitive prices.
- Identified opportunities for cost savings in the biologics production process, leading to reduced overhead expenses without compromising quality.
- Enhanced biologics processing by implementing innovative techniques and procedures.
Desk Medical Assistant/Biologic Coordinator/Prior Authorization Specialist
Sanova Dermatology
11.2021 - 07.2024
- Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
- Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
- Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
- Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
- Contributed to positive health outcomes by educating patients on preventative measures, treatment plans, and follow-up care instructions.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Coordinated with billing department to resolve discrepancies related to denied claims due to incomplete or incorrect prior authorizations.
- Contributed to a high level of customer service by quickly addressing questions or concerns from patients regarding their coverage or denials.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
Medical Assistant/Biologics Coordinator
Clear Dermatology
08.2016 - 11.2021
- Obtained client medical history, medication information, symptoms, and allergies.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
- Aided in accurate diagnoses by performing laboratory tests and preparing specimens for analysis.
- Streamlined office operations by managing inventory levels, ordering supplies, and organizing storage areas.
- Reduced wait times by swiftly processing insurance claims, verifying coverage, and obtaining pre-authorizations when necessary.
- Coordinated sample transfers between departments for analysis or further processing.
- Tracked referral submission during facilitation of prior authorization issuance.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
Education
Medical Assisting Certificate -
Pima Medical Institute
Houston, TX 08.2013 - 05.2014
Associate of Science - Nursing
Texas Southern University
Houston, TX01.2016
High School Diploma -
Andress High School
El Paso Texas06.2013
Skills
- HIPAA Compliance
- Customer Service
- Medical terminology knowledge
- Vital Sign Monitoring
- Clinical Documentation
- Data Entry
- Patient Management
- Patient Relations
- Medical billing and coding
Timeline
Desk Medical Assistant/Biologic Coordinator/Prior Authorization Specialist
Advanced Dermatology
07.2024 - Current
Desk Medical Assistant/Biologic Coordinator/Prior Authorization Specialist
Sanova Dermatology
11.2021 - 07.2024
Medical Assistant/Biologics Coordinator
Clear Dermatology
08.2016 - 11.2021
Medical Assisting Certificate -
Pima Medical Institute
08.2013 - 05.2014
Associate of Science - Nursing
Texas Southern University
High School Diploma -
Andress High School
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