Shelby Akers
Russell,KY
Overview
10
10
years of professional experience
1
1
Certification
Work History
Prior Authorization Specialist
WeCare Medical, LLC
05.2020 - Current
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Obtained up to 75 authorizations daily.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Input all patient data regarding claims and prior authorizations into system accurately.
Cashier
Pennington's Foodfair
09.2013 - 04.2019
- Greeted customers entering store and responded promptly to customer needs.
- Worked flexible schedule and extra shifts to meet business needs.
- Learned duties for various positions and provided backup at key times.
Education
Associate of Science - Respiratory Therapy
Shawnee State University
Portsmouth, OH04.2024
Bachelor of Science - Integrated Healthcare Studies
Ohio University
Athens, OH12.2018
Skills
- Physician Order Verification
- Strong Clinical Judgment
- Professional Bedside Manner
- Team Building
- Self-Motivated
- Effective Communication Skills
Certification
Basic Life Support, 11/2022 - 11/2024
Pediatric Advanced Life Support, 07/2023 - 07/2025
Clinical Experience
Southern Ohio Medical Center - Portsmouth, OH
King's Daughters Medical Center - Ashland, KY
Cabell Huntington Hospital - Huntington, WV
Adena Regional Medical Center - Chillicothe, OH
- Completed a total of 221 clinical hours at various hospitals, long-term health care facilities, and DME companies
- Administered medications to patients as per physician's orders
- Observed and monitored patients responses to therapies
- Promptly provided end of shift report to charge therapist
- Adhered to all guidelines provided by clinical sites
Timeline
Prior Authorization Specialist
WeCare Medical, LLC
05.2020 - Current
Cashier
Pennington's Foodfair
09.2013 - 04.2019
Associate of Science - Respiratory Therapy
Shawnee State University
Bachelor of Science - Integrated Healthcare Studies
Ohio University
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