Summary
Overview
Work History
Education
Skills
Websites
Pronouns
Contact Summary
Extra
Professional Development
References
Certification
Timeline
Generic

Rajaa Muhammad

Katy,TX

Summary

Health Care Professional: Passionate, Skillful, and Knowledgeable with the proven ability to foster and maintain relationships. Strong people skills and outstanding bedside manner. Most effective when giving goals and minimal guidance while adhering to OSHA, HIPAA, and company policy and procedures.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Prior Authorization Representative

CVS Healthcare
01.2024 - Current
  • Maintained accurate records on all prior authorizations requested, received, and denied.
  • Processed appeals for denials in accordance with established procedures.
  • Communicated with internal teams regarding changes in policy or procedure related to prior authorization process.
  • Facilitated communication between health plan representatives, providers, and members when needed.
  • Evaluated clinical information provided by providers against specific criteria set forth by health plans.
  • Analyzed claims data from multiple sources to identify areas of potential cost savings.

Pre-PA Medical Assistant (temp-Intern)

Houston Gastro Institute
Houston
07.2023 - 12.2025
  • Abiding by both HIPPA and OSHA regulations
  • Greeting Patients, scheduling appointments, Handling Patient Paperwork, and Medication Administration, Prescription refills, Outbound/Inbound Calls, Cash Handling, Billing, Insurance Verification, Rooming, Vitals, Triage, Prior Auths, procedure recall
  • Handles scheduling of appointments based on intake assessments and provider matrix
  • Handles a high volume of incoming and outgoing calls and facilitates a positive customer/patient experience
  • Verifies patient eligibility, insurance benefits, out-of-pocket costs, and deductible requirements as well as obtains pre-authorizations or referrals as required
  • Meets established Patient Intake department metrics and quality goals.

Medical Assistant

Kelsey Seybold
02.2021 - 10.2021
  • Abiding by both HIPPA and OSHA regulations
  • Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
  • Administered injections, medications and treatments as directed by the physician.
  • Provided assistance to medical staff in performing minor surgical procedures.
  • Prepared laboratory specimens for analysis and organized lab results for review by the physician.
  • Maintained accurate medical records through filing, charting, transcription and data entry into electronic health record system.
  • Performed basic laboratory tests such as urinalysis and blood glucose levels under direct supervision of a physician or registered nurse.

Medical Assistant

Medspring Urgent Care
01.2017 - 01.2019
  • Abiding both HIPPA and OSHA regulations
  • Greeting Patients, scheduling appointments, Handling Patient Paperwork, Medication Administration, Prescription refills, Outbound/Inbound Calls, Cash Handling, Billing, Insurance Verification, Rooming, Vitals, Casting/Splinting, Basic Lab testing, Minor injury, Suture removal, EKG, Training Onboarding, Federal Drug testing, Occupational Med, Texas workers Comp.

Care Coordinator

Cigna Evicore
Remote
2021 - 2022
  • The connection between three parties (Insurance company, Patient, and Durable Medical Equipment/Home Health Agencies)
  • Making outbound Fax/emails and phone calls to all parties
  • Applying customer service, healthcare-related knowledge, and skills to build cases while collecting the necessary information needed to serve patients properly and timely while abiding by the HIPPA and OSHA standards
  • Create patients' records and accounts and ensure that pre-authorization information is properly updated
  • Inbound and outbound customer service
  • Receive requests for pre-authorizations and ensure that they are properly and closely monitored.
  • Collaborated with physicians, social workers, and other healthcare providers to provide comprehensive care for patients.

Medical Assistant

Austin Regional Clinic
2018 - 2019
  • Abiding by both HIPPA and OSHA regulations
  • Greeting Patients, scheduling appointments, Handling Patient Paperwork, Medication Administration, Prescription refills, Outbound/Inbound Calls, Cash Handling, Billing, Insurance Verification, Rooming, Vitals, Casting/Splinting, Basic Labs, Minor injury, Suture removal, EKG, Training Onboarding, (Family Medicine, Internal Medicine)

Education

MASTER'S DEGREE - Public Health (epidemiology)

University of Phoenix
05-2025

BACHELOR'S DEGREE - Healthcare Management

University of Phoenix

ASSOCIATE'S DEGREE - Healthcare Administration

College Of Health Care Professions

Skills

  • Microsoft Word
  • Microsoft Excel
  • Microsoft PowerPoint
  • EMR Systems
  • Patient Care
  • Patient Coordination
  • Patient Monitoring
  • Phlebotomy
  • EKG
  • Splinting/Casting
  • Procedure Recalls
  • Lab Testing
  • Pharmacology
  • Patient Referrals
  • Documentation requirements
  • Specimen handling
  • Research experience
  • Medication Dispensing
  • Good clinical practice
  • Documentation and Recordkeeping
  • Infectious disease control
  • OSHA
  • Quality improvement initiatives
  • Infection Control
  • Specimen Transportation
  • Testing management
  • Disease Research
  • Project Support
  • Content Creation
  • Event Planning

Pronouns

She/Her

Contact Summary

281-542-3184, Rajaa.aminam1@gmail.com

Extra

  • Golden Key Honor Society - University of Phoenix
  • NSLS | The National Society of Leadership and Success - University of Phoenix

Professional Development

  • The College Of HealthCare Professions - Career Development - Houston, Texas
  • Chick - Fil - A : Marketing Intern
  • Ark Of safety Solution: Talent acquisition

References

  • Chenice Bell, Medsping, Supervisor, chenice43@yahoo.com
  • Shanice Brady, The college of health care professions, Professor

Certification

  • Dot
  • NRCMA
  • OSHA
  • American Heart BLS
  • Workers Compensation
  • GCP
  • EKG

Timeline

Prior Authorization Representative

CVS Healthcare
01.2024 - Current

Pre-PA Medical Assistant (temp-Intern)

Houston Gastro Institute
07.2023 - 12.2025

Medical Assistant

Kelsey Seybold
02.2021 - 10.2021

Medical Assistant

Medspring Urgent Care
01.2017 - 01.2019

Care Coordinator

Cigna Evicore
2021 - 2022

Medical Assistant

Austin Regional Clinic
2018 - 2019

MASTER'S DEGREE - Public Health (epidemiology)

University of Phoenix

BACHELOR'S DEGREE - Healthcare Management

University of Phoenix

ASSOCIATE'S DEGREE - Healthcare Administration

College Of Health Care Professions
Rajaa Muhammad