
Accomplished Administrator with expertise in medical terminology and claims management at Healthfirst. Proven ability to enhance patient care through effective advocacy and counseling. Successfully streamlined authorization processes, improving efficiency by 20%. Adept at collaborating with diverse teams to ensure compliance and optimal service delivery.
Effectively verified prior authorization requests for medical procedures, ensuring compliance with insurance guidelines.
Reviewed and analyzed medical records, diagnostic codes, and treatment plans to determine eligibility for services.
Followed up with providers to ensure timely resolution of pending grievances, appeals and authorization
Educated patients and providers on insurance requirements and processes for securing authorizations.
Reviewed patient benefits, medical necessity, and policy guidelines to determine authorization requirements
Coordinate the development, implementation, and monitoring of IEPs for students with a variety of disabilities, ensuring compliance and state-specific regulations.
Conducted assessments to determine students' eligibility for special education services, providing recommendations based on data and student needs.
Served as a liaison between parents, teachers, administrators, and community organizations to ensure that students receive appropriate services and support.
Monitored student progress through regular evaluations and adjust IEPs as necessary to meet individual goals.
Ensure all documentation, reports, and paperwork related to IEPs, evaluations, and progress are completed accurately and submitted on time.
Advocate for students' needs during meetings, helping to create an environment that fosters student success and well-being.
Answered multi-line phone system, while scheduling appointments, and ensuring patient needs are met
Maintained accurate and up-to-date patient records, ensuring compliance with HIPAA standards.
Process patient billing and insurance claims, while resolving discrepancies and outstanding balances.
Prepared medical records, lab results, and correspondence for physician review while managing referrals, medical histories, and insurance data
Organized coordination of meetings and office events, ensuring proper room setup and catering needs.
Responded to customer inquiries and resolved issues in a timely and professional manner.
Kept track of office supplies, ordering new items when necessary to ensure smooth operations.
Managed data entry and updated client information in the database to maintain accurate records.
Assisted with the preparation of documents, reports, and presentations for meetings
Educated clients on skincare routines and makeup tips to maintain healthy skin and ensure flawless makeup application.
Handled cash and credit, transactions, ensuring all money and receipts are correctly managed and recorded.
Conduct quality checks to ensure that all products are free from defects, contamination, or damage before use
Helped maintain inventory by restocking items, ensuring proper product displays, and stocked shelves
Sterilized, cleaned, and prepared cosmetics instruments for reuse, adhering to protocols and infection control standards.
Processed online orders, track shipments, and assisted customers with tracking their purchases
Process transactions efficiently using POS systems, ensuring accurate order processing and receipt generation
Processed online orders including restocking shelves, track shipments ensuring product availability.
Maintain an organized and clean store environment, ensuring shelves are fully stocked and displays are visually appealing.
Assist with product returns, exchanges, and warranty claims, ensuring customers follow the proper procedures.