Rachel S. Rix
East Lyme,CT
Summary
Brings proven track record of success in determining eligibility and resolving complex cases. Works professionally with clients to develop and implement successful strategies for maximizing services and benefits. Skilled in problem-solving and identifying solutions meeting clients' needs.
Overview
18
18
years of professional experience
Work History
Authorization Coordinator
Orthopedic Partners
12.2018 - Current
- Collaborated with multidisciplinary teams to ensure timely submission of documentation required for insurance approval.
- Improved patient care by efficiently coordinating authorizations for medical procedures and treatment plans.
- Facilitated timely renewals of ongoing authorizations by closely monitoring expiration dates and initiating renewal processes proactively.
- Enhanced communication between healthcare providers and insurance companies, reducing delays in patient treatment approvals.
Intake Specialist
MedOptions Behavioral Health Inc
11.2017 - 12.2018
- Processes physicians order and patient demographics
- Verifies patient insurance using Zirmed
- Process Pre-Authorizations through various insurance companies
- Sets up initial evaluations on clinicians schedules
- Maintains patient confidentiality at all times
- Answers clinician questions concerning authorizations/patient information when necessary.
Administrative Assistant/Buyer
Shipman’s Fire Equipment
01.2011 - 11.2017
- Provided assistance to the President and Vice President.
- Efficiently responded to inbound telephone communications
- Aided in the coordination and execution of tasks for outside sales staff
- Prepare all sales order / review & invoice all daily inbound equipment orders
- Verified and authorized vendor invoices for payment.
Pharmacy Technician
Rite Aid Pharmacy
01.2009 - 01.2011
- See Below For List of Duties
Pharmacy Technician
Stop and Shop Pharmacy
01.2008 - 01.2009
- See Below For List of Duties
Pharmacy Technician
Rite Aid Pharmacy
01.2008 - 06.2008
- Stocked, labeled, and inventoried medication to keep accurate records.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
- Assisted in maintaining a clean and organized work environment, ensuring compliance with safety regulations.
- Maintained accuracy of patient plans through thorough verification of eligibility.
Temp. Clerical Receptionist & Data Entry
Costal Connecticut Research
05.2007 - 05.2007
- Responsibilities included: Maintained a working knowledge of computerized processes and data entry procedures
- Scheduled patients for their weekly and monthly appointments
- Referred all documented information to patients general practitioners
- Input new information in patient files pertaining to the study they were participating in
- Researched past patient charts to see if they qualified for new and upcoming studies
- Worked with Medics Premier computer program.
Internship Clerical Receptionist & Data Entry
Montauk GYN
12.2006 - 01.2007
- Responsibilities included: Maintained open lines of communications between patients, physician, staff and laboratory personnel
- Communicated with physicians and medical support staff to determine the need for patient services
- Obtained and processed patients medical insurance information quickly and accurately
- Obtained medical transcriptions from physicians and processed patient co-payments at the end of the day
- Coordinated daily pharmaceutical related matters to verify and expedite a high volume of prescription orders
- Learned the basics of the Medics Premier computer program.
Education
Associates Degree - Business Office Technology; Administrative Assistant
Three Rivers Community College, Mohegan Campus
Norwich, CT01.2007
Diploma - General Studies
East Lyme High School
East Lyme, CT01.2005
Skills
- Data Entry
- Intake Assessment
- Compassionate communication
- Critical Thinking Skills
- Prior Authorization Knowledge
- Insurance Verification Expertise
- Strong Communication Skills
Phone
H: 860-850-4692, C: 914-707-4101
Areas of Effectiveness
Written and oral communication, organizational skills, detail oriented and excellent interpersonal skills.
Timeline
Authorization Coordinator
Orthopedic Partners
12.2018 - Current
Intake Specialist
MedOptions Behavioral Health Inc
11.2017 - 12.2018
Administrative Assistant/Buyer
Shipman’s Fire Equipment
01.2011 - 11.2017
Pharmacy Technician
Rite Aid Pharmacy
01.2009 - 01.2011
Pharmacy Technician
Stop and Shop Pharmacy
01.2008 - 01.2009
Pharmacy Technician
Rite Aid Pharmacy
01.2008 - 06.2008
Temp. Clerical Receptionist & Data Entry
Costal Connecticut Research
05.2007 - 05.2007
Internship Clerical Receptionist & Data Entry
Montauk GYN
12.2006 - 01.2007
Associates Degree - Business Office Technology; Administrative Assistant
Three Rivers Community College, Mohegan Campus
Diploma - General Studies
East Lyme High School
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