SAMANTHA LEONARD
MIDDLETOWN,PENNSYLVANIA
Summary
Experienced Technical Assistant successful handling problems and determining optimal solutions. Good documentation and reporting skills with solid understanding of customer, and team relations.
Team-oriented and methodical Technical Assistant with strong attention to detail and good multitasking skills. Specializing in all aspects of Prior Authorization providing expert technical and procedural guidance to team to enhance productivity and increase work accuracy. Proficient in all Microsoft Office programs, Appeals Connect, MCS, MAS, Prior Authorization Connect, Service Connect, and FISS.
Overview
6
6
years of professional experience
Work History
Technical Assistant, Prior Authorization
Novitas Solutions
04.2023 - Current
- Assisting department team members with any questions or issues they may have regarding claims, appeals, and triaging Prior Authorization requests
- Answer any escalations that providers have as well as handle any UTN issues
- Part of the team that created Prior Authorization Connect
- Creating and updating procedures as necessary
- Handle multiple reports
- Completed the PLUS program
Claims Processor II
Novitas Solutions
09.2021 - 04.2023
- Researching and Problem solving
- Reviewing Prior Authorization requests to be sure everything that is needed for the nurses to review and make the appropriate decision has been submitted
- Process claims according to Medicare guidelines
- Send letters to providers informing them of the decision of their Prior Authorization request
Provider Service Advocate(PSAII)
Novitas Solutions
10.2019 - 09.2021
- Researching and Problem solving
- Reviewing claim denials/rejections to provide a solution to providers
- Review providers overpayments and provide the provider with a reasoning for the overpayment
- Training and Mentoring new hires
Provider Service Advocate(PSA)
Novitas Solutions
11.2018 - 10.2019
- Researching and Problem solving
- Reviewing claim denials/rejections to provide a solution to providers
- Review providers overpayments and provide the provider with a reasoning for the overpayment
Education
High School -
Dysart High School
El Mirage, Arizona06.2005
Bachelor of Science - Accounting
University of Phoenix
03.2025
Skills
- Administrative skills
- Research
- Document processing
- Technical guidance
- Operations support
- Operating systems
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Completed the PLUS Program
Timeline
Technical Assistant, Prior Authorization
Novitas Solutions
04.2023 - Current
Claims Processor II
Novitas Solutions
09.2021 - 04.2023
Provider Service Advocate(PSAII)
Novitas Solutions
10.2019 - 09.2021
Provider Service Advocate(PSA)
Novitas Solutions
11.2018 - 10.2019
Bachelor of Science - Accounting
University of Phoenix
High School -
Dysart High School
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