Summary
Work History
Overview
Education
Skills
Languages
Timeline
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Reem Alghunaim

Jackson,TN

Summary

Hardworking Prior Authorization Specialist with successful background working closely with insurance company representatives to gain preapproval for procedures and testing. Detail-oriented performer with over 3 years of managing documentation. Considered team player with exemplary multitasking skills.

Work History

Prior Authorization Specialist

Family Medical Clinic Of Jackson
04.2023 - Current
  • 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.
  • Reached out to insurance carriers to obtain prior authorization for testing and procedures.

Patient Care Technician

West TN Healthcare
05.2022 - 09.2023
  • Obtained patient vital signs and reported results to staff nurse or physician, noting changes from prior measurements.
  • Answered patient assistance calls, assessed needs, and offered qualified support.
  • Maintained clean and safe environment to promote patient safety and comfort.
  • Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.

Administrative Assistant

Family Medical Clinic Of Jackson
06.2020 - 05.2022
  • Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
  • Restocked supplies and placed purchase orders to maintain adequate stock levels.
  • Executed record filing system to improve document organization and management.
  • Scheduled office meetings and client appointments for staff teams.
  • Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
  • Assisted with routine checks and diagnostic testing by collecting and processing specimens.

Specimen Processing Technician

West TN Healthcare
10.2022 - 04.2023
  • Entered data on demographics, grossing descriptions, and clinical diagnosis into EMR.
  • Monitored inventory levels of supplies, equipment, and reagents used and placed orders for replacements.
  • Adhered to laboratory safety procedures to maintain compliance with quality control standards.
  • Dictated and grossed tissue samples obtained from multiple physicians' offices and medical facilities.
  • Logged over 1,000 samples on average, handling each expertly to prevent contamination.
  • Troubleshot inconsistencies and identified errors to trace root causes and implement corrective actions.

Office Manager

Family Medical Clinic of Jackson/Trezevant
10.2023 - Current
  • Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
  • Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
  • Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
  • Conducted regular inventory assessments of office supplies, ordering necessary items proactively to prevent stock shortages.
  • Enhanced team productivity by delegating tasks effectively and overseeing daily workflow.

Overview

5
5
years of professional experience

Education

Bachelor of Science - Biology

University of Memphis
Memphis, TN
05.2021

Skills

  • Information Assistance
  • Medical Coding
  • Medical Transcription
  • Patient Interviews
  • Issue Research
  • Problem Resolution
  • Medical Terminology

Languages

Arabic
Native or Bilingual

Timeline

Office Manager

Family Medical Clinic of Jackson/Trezevant
10.2023 - Current

Prior Authorization Specialist

Family Medical Clinic Of Jackson
04.2023 - Current

Specimen Processing Technician

West TN Healthcare
10.2022 - 04.2023

Patient Care Technician

West TN Healthcare
05.2022 - 09.2023

Administrative Assistant

Family Medical Clinic Of Jackson
06.2020 - 05.2022

Bachelor of Science - Biology

University of Memphis

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Reem Alghunaim