Rockelle Mayfield
Branch,USA
Summary
Dynamic Prior Authorization Specialist with a proven track record at Professional Arts Pharmacy, adept at securing patient information and expediting approvals. Skilled in medical terminology and effective communication, I prioritize tasks to meet deadlines, ensuring compliance with healthcare regulations while enhancing patient care and operational efficiency. Trustworthy professional offering a keen understanding of the latest insurance requirements for prior authorizations. Determined Prior Authorization Specialist boasting extensive claim researching and effective collaboration skills with other members of the office staff.
Overview
14
14
years of professional experience
3
3
Certifications
Work History
Prior Authorization Specialist
Professional Arts Pharmacy
Lafayette, USA
07.2023 - 05.2024
- Documented all prior authorization information in patient profiles, including approval dates and prior authorization numbers.
- Secured patients' demographics and medical information using discretion to protect privacy.
- Assisted with medical necessity documentation to expedite approvals and confirm appropriate follow-up.
- Prioritized prior authorizations in alignment with expiration deadlines.
Nationally Registered Medical Assistant
Charles E. Ray APMC
Jennings, USA
02.2022 - 06.2023
- Administered oral medications and immunizations as directed by supervising physicians.
- Contributed to reduction in patient wait times with actionable solutions surrounding patient check-in processes.
- Prepared patients for examinations, procedures and treatments.
- Organized, reviewed, and forwarded incoming test results to care teams.
Nationally Registered Medical Assistant
Bryan A LeBean APMC
Lafayette, USA
08.2019 - 02.2022
- Administered oral medications and immunizations as directed by supervising physicians.
- Contributed to reduction in patient wait times with actionable solutions surrounding patient check-in processes.
- Prepared patients for examinations, procedures and treatments.
- Organized, reviewed, and forwarded incoming test results to care teams.
Nationally Registered Medical Assistant
Saints MaryGrace Family Practice
Opelousas, USA
05.2010 - 08.2019
- Assisted physicians and clinicians with examinations, procedures, and vital signs monitoring.
- Cleaned, prepared and maintained examination rooms and treatment areas.
- Answered phone calls and scheduled or followed-up on appointments.
- Prepared and administered medications and vaccines to patients.
Education
Medical Assistant -
Remington College
Lafayette04.2009
Certified Nursing Assistant -
SLCC
Crowley, LASkills
- Medical terminology
- Data entry
- Patient referrals
- Insurance procedures
- Records maintenance
- Eligibility determination
- Teamwork
- Creative thinking
- Assistance authorization
- History verification
- Phlebotomy
- EKG
- Administering Medication
- EHR management
- Patient confidentiality
- Healthcare regulations
- Quality assurance
- Time management
- Attention to detail
- Effective communication
- Critical thinking
- Professionalism and ethics
- Retro-authorizations
- Patient scheduling
- Benefit coverage
- Patient confidentiality compliance
- Pharmacy benefit management
- Clinical documentation improvement
- Prior authorization process
- Medical terminology knowledge
- Authorizations
- Computer proficiency
- Documentation skills
- Recordkeeping and data input
- Multitasking Abilities
- Appointment scheduling
Certification
Certified Nursing Assistant in Louisiana for 23 years #123905
Timeline
Prior Authorization Specialist
Professional Arts Pharmacy
07.2023 - 05.2024
Nationally Registered Medical Assistant
Charles E. Ray APMC
02.2022 - 06.2023
Nationally Registered Medical Assistant
Bryan A LeBean APMC
08.2019 - 02.2022
Nationally Registered Medical Assistant
Saints MaryGrace Family Practice
05.2010 - 08.2019
Medical Assistant -
Remington College
Certified Nursing Assistant -
SLCC