Pamela Sannuti
Philadelphia,PA
Summary
Seasoned and highly equipped with over 20 years of experience in performing a variety of secretarial and staff support duties for a variety of departments in a hospital setting. Also have a range of knowledge and skills of organizational procedures and policies.
Experienced with navigating healthcare insurance systems to secure treatment approvals. Utilizes keen attention to detail and extensive knowledge of medical coding to streamline processes. Strong understanding of insurance guidelines and patient advocacy to ensure optimal outcomes.
Overview
22
22
years of professional experience
Work History
Prior Authorization Specialist/New Patient Scheduler
Pulmonology Associates
11.2024 - 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.
- Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Usage of various websites to obtain prior authorization such as Pear, Evolent and Evicore
New Patient Scheduler/Registration
Phoenix Medcom
11.2022 - 11.2024
- Increased patient satisfaction through timely and accurate appointment coordination.
- Ensured accurate record-keeping by diligently updating patient information within the scheduling system.
- Contributed to a positive work environment by assisting colleagues with schedule management tasks.
- Managed high call volumes while maintaining exceptional customer service for new patients.
- Scheduled for multiple specialist departments such as Urology, Neurosurgery, ENT, Ophthalmology and Rehabilitation.
- Using the EPIC system to schedule and verify various insurances.
Asthma Specialist/ Patient Access Coordinator
Family Allergy/Allergy
02.2019 - 11.2022
- Answer and manage incoming telephone calls
- Check patients in by confirming all demographics
- Verify insurance coverage, referral requirements and entered on computer
- Familiar with Navinet and EMR systems
- Scanned necessary medical records onto patients electronic charts
- Collect co-pays and back balances
- Scheduled follow up and immunotherapy appointments
- Periodically, worked at the call center when needed
- Pulled referrals from Availity, Pear and Navinet
- Post charges and payments at the end of the day
- Monitored office supplies and order through Staples.
Hospital Administrative Assistant
Magee Rehabilitation
08.2013 - 12.2018
- Provided clerical support to all therapist, office manager and assisted visitors in the Brain injury and Stroke unit
- Organized files created spreadsheets in Word and Excel
- Daily processed therapy orders in CPSI
- Scheduling of patient's OT/PT/ST for new admissions and for inpatients
- Tracking of patient admissions and discharges on excel spreadsheet
- Organized files
- Typed letters when needed, faxed reports and scanned documents
- Processed therapist check request for educational events and re-imbursements
- Received internal and external calls, including email and mail
- Gave tours for all new incoming PT/OT students.
Patient Care Representative
University of Pennsylvania
05.2009 - 07.2013
- Personal secretarial support for multiple physicians in the Radiation Oncology department
- Scheduled follow up appointments and various anxillary test
- Answered incoming calls
- Obtains and registered patient demographics and insurance information
- Verified insurance and precert test if necessary
- Viewed and scheduled radiology test as needed in EPIC system.
Medical Secretary
University of Pennsylvania
02.2006 - 05.2009
- Assisted the ENT physician with setting up his patients for surgery such as scheduling and setting up the patients pre-admission testings
- Typing all of the doctors patients office notes from their visits with the ENT
- Prepped and edits documents
- Answered and assist patient when they called
- Registered patients in the IDX system.
Surgery Scheduler
University of Pennsylvania
01.2004 - 02.2006
Education
Notary Public - Notary Public
National Notary Association
Chatsworth, CA02.2022
Certification - Medical Office Management
Thompson Institute
Chambersburg, PA08.1992
Skills
- Prior authorization process
- Insurance verification
- Medical office procedures
- Insurance procedures
- Patient scheduling
- HIPAA compliance
- Precertification requirements
- Schedule management
Timeline
Prior Authorization Specialist/New Patient Scheduler
Pulmonology Associates
11.2024 - Current
New Patient Scheduler/Registration
Phoenix Medcom
11.2022 - 11.2024
Asthma Specialist/ Patient Access Coordinator
Family Allergy/Allergy
02.2019 - 11.2022
Hospital Administrative Assistant
Magee Rehabilitation
08.2013 - 12.2018
Patient Care Representative
University of Pennsylvania
05.2009 - 07.2013
Medical Secretary
University of Pennsylvania
02.2006 - 05.2009
Surgery Scheduler
University of Pennsylvania
01.2004 - 02.2006
Certification - Medical Office Management
Thompson Institute
Notary Public - Notary Public
National Notary Association
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