Shaqueata Horton
Medical Assistant/Prior Authorization Specialist
Chicago,IL
Summary
Experienced healthcare professional with extensive knowledge of medical regulations and policies. Offers strong dedication to informed patient care, administrative excellence and confidentiality.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Medical Assistant/Prior Authorization Specialist
Cook Country Health & Hospitals Systems
10.2012 - Current
- Reviewing patient medical records and treatment plans to determine need for prior authorization.
- Researching insurance coverage and policies to ensure compliance with requirements.
- Communicating with healthcare providers, insurance companies, and patients regarding prior authorization status and updates.
- Documenting all communication and actions taken in accurate and timely manner.
- Identifying any issues or discrepancies in prior authorization process and addressing them promptly.
- Managing multiple cases simultaneously while maintaining quality standards.
Education
Associate of Applied Science - Healthcare Administration
Eastern Gateway Community College
Steubenville, OH12.2023
Medical Assistant Diploma - Medical Assisting
Olympia College
Chicago, IL01.2006
High School Diploma -
Calumet Career Prep Academy
Chicago, IL06.1997
Skills
- Charting Expertise
- Ambulating and Repositioning Patients
- Using Centrifuges
- Communicating with Patient Families
- Specialist Procedures
- Health Insurance Plan Knowledge
- Insurance Procedures
- Medical Coding
- Retro-Authorizations
- Benefits Verifications
- Infection Control Procedures
- Assistance Authorization
- Patient Referral
- Outpatient Procedures
Certification
- RMA - Registered Medical Assistant
- Oncology Patient Navigator Training - 02/28/2023
Timeline
Medical Assistant/Prior Authorization Specialist
Cook Country Health & Hospitals Systems
10.2012 - Current
Associate of Applied Science - Healthcare Administration
Eastern Gateway Community College
Medical Assistant Diploma - Medical Assisting
Olympia College
High School Diploma -
Calumet Career Prep Academy
Similar Profiles
Jade PopeJade Pope
THIRD PARTY BILLING AND FOLLOW UP REPRESENTATIVE at Cook County Health & Hospitals SystemTHIRD PARTY BILLING AND FOLLOW UP REPRESENTATIVE at Cook County Health & Hospitals System
TINA JACKSONTINA JACKSON
Registered Medical Assistant at Cook County Health And HospitalsRegistered Medical Assistant at Cook County Health And Hospitals
Jeelan McCrayJeelan McCray
Clinical Nurse Coordinator II at Cook County Health Hospital Systems- Cermak HealthClinical Nurse Coordinator II at Cook County Health Hospital Systems- Cermak Health
Tsvetelin PenevTsvetelin Penev
Back Server at The Peninsula HotelBack Server at The Peninsula Hotel
Jose Sanchez-GarciaJose Sanchez-Garcia
Certified Medical Assistant at Northwestern MedicineCertified Medical Assistant at Northwestern Medicine