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.
Overview
3
3
years of professional experience
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.
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.
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.
Education
Bachelor of Science - Biology
University of Memphis
Memphis, TN05.2021
Skills
- Information Assistance
- Medical Coding
- Medical Transcription
- Patient Interviews
- Issue Research
- Problem Resolution
- Medical Terminology
Languages
Arabic
Native or Bilingual
Timeline
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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