Pamela Oliver
West Palm Beach,FL
Summary
My approach for success has been consistent throughout, exercising creative approaches to accomplish daily goals and I have achieved great success.
My focus on a variety of challenges have been tackled with critical thinking and quick problem-solving abilities. Subsequently proving to be quite rewarding!
I am independently motivated yet appreciate team efforts.
The cross-section of my experience helps me with daily interactions, relationships and resolve. You can't "fix"what you don't understand.
Relationship building internally and externally creates connections, something I have valued my entire career.
The experience I have been fortunate to acquire can support an opportunity and would be an asset to your company.
Overview
14
14
years of professional experience
Work History
Authorization Specialist
GenesisCare Oncology
2012.05 - Current
- Processed and certified documents for accuracy and compliance with government regulations.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Researched denied claims and contacted insurance companies to resolve these issues.
- Tracked referral submission during facilitation of prior authorization issuance.
Medical Secretary
Jupiter Hematology Oncology
2009.05 - 2012.05
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Maintained current and accurate medical records for patients.
- Registered new patients in electronic medical records prior to appointment scheduling.
- Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Processed and certified documents for accuracy and compliance with government regulations.
- Kept information confidential and followed HIPAA guidelines to maintain patient trust.
- Organized paperwork such as charts and reports for office and patient needs.
Education
CCC - Medical Insurance Coding/Billing
Palm Beach State College
Lake Worth, FL01.2008
Bachelor of Science - Hospitality And Tourism Management
Purdue University
West Lafayette, IN05.1980
Skills
- Critical Thinking
- Procedures Compliance
- Operational Efficiency
- Patient Contact
- Administrative Support
- Creative Solutions
- Timely Processing
- HIPAA Regulations
Timeline
Authorization Specialist
GenesisCare Oncology
2012.05 - Current
Medical Secretary
Jupiter Hematology Oncology
2009.05 - 2012.05
CCC - Medical Insurance Coding/Billing
Palm Beach State College
Bachelor of Science - Hospitality And Tourism Management
Purdue University
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