Summary
Work History
Overview
Education
Skills
Languages
Timeline
Generic

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