Summary
Overview
Work History
Education
Timeline
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Samantha Patricelli

Dalton,MA

Summary

Currently enrolled as a student at Springfield Technical Community College in the Social Services program, I am eager to transition into the human services career field after 15 years in the healthcare field. I bring a proven track record of adaptability, experience working in high-pressure environments and a strong work ethic to a challenging role. Along with professional experience I have many years of lived experience that would be beneficial to the position I am applying for.

Overview

4
4
years of professional experience

Work History

Prior Authorization Specialist

Berkshire Medical Center
03.2024 - Current
  • Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
  • Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
  • Verified eligibility and compliance with authorization requirements for service providers.
  • Analyzed medical records and other documents to determine approval of requests for authorization.
  • Reached out to insurance carriers to obtain prior authorization for testing and procedures.
  • Responded to inquiries from healthcare providers regarding prior authorization requests.
  • Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
  • Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
  • Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.

Phlebotomist

Berkshire Medical Center
04.2023 - 08.2023
  • Enhanced patient experience through compassionate care and communication during blood draw procedures.
  • Labeled transfer tubes and followed exact directions for handling and storing specimens for transport.
  • Maintained a high level of accuracy in labeling and tracking specimens, ensuring proper testing and timely results.
  • Centrifuged blood samples as outlined in clinical protocols.
  • Excelled in high-pressure situations, maintaining composure and professionalism during peak hours and emergency scenarios.

Medical Office Assistant

Pioneer Spine and Sport Physicians
06.2022 - 01.2023
  • Sanitized, restocked, and organized exam rooms and medical equipment.
  • Obtained client medical history, medication information, symptoms, and allergies.
  • Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
  • Performed medical records management, including filing, organizing and scanning documents.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.

Medical Assistant

Dalton Medical Associates
06.2021 - 06.2022
  • Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
  • Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
  • Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
  • Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
  • Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
  • Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.

Education

Associate of Arts - Human Services/Social Work

Springfield Technical Community College
Springfield, MA
06-2027

Timeline

Prior Authorization Specialist

Berkshire Medical Center
03.2024 - Current

Phlebotomist

Berkshire Medical Center
04.2023 - 08.2023

Medical Office Assistant

Pioneer Spine and Sport Physicians
06.2022 - 01.2023

Medical Assistant

Dalton Medical Associates
06.2021 - 06.2022

Associate of Arts - Human Services/Social Work

Springfield Technical Community College

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Samantha Patricelli