Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Oratia Price

Gonzales,LA

Summary

A highly accomplished Medical Administrative professional adept at guiding patients through the intricacies of medical office procedures while ensuring the seamless operation of business functions. With over ten years of relevant experience, I bring a meticulous approach and proficiency in electronic records management. My detail-oriented nature and expertise enable me to excel in both patient-facing and administrative tasks, leveraging exceptional multitasking and organizational skills. I am an independent worker with a wealth of medical experience, committed to delivering superior patient care. As an efficient Authorization Specialist, I possess an in-depth understanding of medical insurance policies, coding, and procedures, facilitating effective communication between patients, healthcare providers, and insurance companies to ensure smooth transactions. My strengths included a strong problem-solving, meticulous documentation, and a discerning eye for discrepancies, resulting in streamlined authorization processes, enhanced patient satisfaction, and a reduction in claim denials in my previous roles.

Overview

18
18
years of professional experience

Work History

Authorization Specialist:

Ensemble
Terre Haute, IN
09.2022 - Current
  • Provided customer service to internal and external customers related to authorization requests.
  • Reviewed authorization requests for accuracy and completeness.
  • Conducted thorough investigations into patient eligibility, insurance coverage details, and benefit tiers, ensuring the verification of insurance authorizations through direct communication with payers via telephone or online platforms.
  • Ensured coherent interaction with relevant departments when required.
  • Integrated authorization into the revenue cycle to enhance billing accuracy.

Patient Access Representative:

Our Lady Of The Lake Hospital
Baton Rouge, LA
10.2021 - 10.2022
  • Greeted patients and visitors in a courteous and professional manner.
  • Managed patient admissions, registrations, transfers, and discharges in accordance with standard protocols.
  • Executed pre-registration tasks including the verification of demographic details, securing authorizations, and gathering deposits and co-payments.
  • Utilized hospital systems to update patient records, ensuring accuracy and completeness.
  • Maintained current knowledge of applicable laws, regulations, policies, procedures and standards pertaining to infusion services.

PCA:

Baton Rouge General Hospital
Baton Rouge, LA
08.2019 - 11.2020
  • Handled all incoming information requests for several busy executives.
  • Monitored vital signs including pulse, blood pressure, and respirations.
  • Maintained patient health through consistent repositioning.
  • Instructed on proper handling of mobility aids to enhance patient self-care.
  • Collaborated with supervisors to analyze cases and formulate enhancement strategies.

Medical Assistant:

Pinnacle Health
Baton Rouge, LA
02.2017 - 08.2019
  • Evaluated processes to ensure OSHA compliance.
  • Streamlined administrative tasks by efficiently handling scheduling, filing, and payment processes.
  • Scheduled appointments aligning with optimal patient loads and clinician availability.
  • Ensured accuracy of patient information while organizing follow-up schedules.

Assistant Manager:

Vivint Home Security
Baton Rouge, LA
04.2016 - 02.2019
  • Enhanced customer satisfaction by effectively leading service strategies.
  • Refined marketing techniques for maximum customer appeal.
  • Ensured accurate revenue records by reconciling daily sales.
  • Oversaw merchandising, promotional activities, and brand loyalty initiatives for the highest revenue-generating business segment. Established and coordinated schedules to ensure adequate coverage in essential areas while fulfilling customer service requirements.

Pharmacy Technician:

Walgreens
Gonzales, LA
04.2014 - 04.2017
  • Collected patient information regarding prescriptions and medical conditions.
  • Collaborated with insurance representatives to finalize claims processing.
  • Identified and dispensed medications based on prescription details, implementing adjustments as directed by pharmacists and healthcare providers.
  • Cross-checked patient information with medical practitioners.
  • Maintained high standards in efficiency and quality of service.

PCA:

The New You Reintegration
Baton Rouge, LA
05.2007 - 01.2012
  • Utilized mobility assistance techniques for safe patient movement across different elevations.
  • Assisted clients in achieving optimal health by managing medication administration and coordinating all medical appointments.
  • Recorded residents' mental health, sleep habits, and dietary patterns in medical records, and assisted clients during medical appointments.
  • Ensured all dietary requirements were met through careful meal preparation.

Education

Diploma/Certificate - Pharmacy Technician

Ultimate Medical Academy
Clearwater, FL
11-2012

Diploma/Certificate - Medical Assistant

Medical Training College
Baton Rouge, LA
11-2010

High School Diploma -

Donaldsonville High School
Donaldsonville
04-2009

Skills

  • Customer Engagement Skills
  • Data Analysis in Spreadsheets
  • Financial Account Reconciliation
  • Scheduling Optimization
  • Client Case Management
  • Healthcare Records Administration
  • EMR/EHR
  • Specialized Healthcare Coding
  • Understanding of medical terminology
  • BLS
  • Knowledge of Medical Ethics
  • Claims Verification Expertise
  • Authorization Management
  • Microsoft office
  • Excel

References

References available upon request.

Timeline

Authorization Specialist:

Ensemble
09.2022 - Current

Patient Access Representative:

Our Lady Of The Lake Hospital
10.2021 - 10.2022

PCA:

Baton Rouge General Hospital
08.2019 - 11.2020

Medical Assistant:

Pinnacle Health
02.2017 - 08.2019

Assistant Manager:

Vivint Home Security
04.2016 - 02.2019

Pharmacy Technician:

Walgreens
04.2014 - 04.2017

PCA:

The New You Reintegration
05.2007 - 01.2012

Diploma/Certificate - Pharmacy Technician

Ultimate Medical Academy

Diploma/Certificate - Medical Assistant

Medical Training College

High School Diploma -

Donaldsonville High School
Oratia Price