Shelly Mahalak
Brownstown,MI
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
16
16
years of professional experience
Work History
Authorization Specialist
Downriver Medical Assoctiates
12.2019 - 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.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Verified eligibility and compliance with authorization requirements for service providers.
- Oriented and trained new staff on proper procedures and policies.
Medical Assistant Receptionist
Michigan Institute Of Hematology And Oncology
07.2012 - 12.2019
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Supported office staff and operational requirements with administrative tasks.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Received and routed laboratory results to correct clinical staff members.
- Registered and verified patient records before triage with most up-to-date information.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
Medical Assistant
Dr. Jalal Thwainey
01.2008 - 07.2012
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Obtained client medical history, medication information, symptoms, and allergies.
- Performed medical records management, including filing, organizing and scanning documents.
- Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed.
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
- Completed clinical procedures and gathered patient data for interpretation by physician.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Completed EKGs and other tests based on patient presentation in office.
- Oriented and trained new staff on proper procedures and policies.
Education
Certification - Medical Assistant
Dorsey School of Business
Southgate, MI09.2004
Skills
- Organizational Skills
- Time Management
- Prior Authorization Processing
- Critical Thinking
- Medical Terminology Expertise
- Decision Making
- Professionalism
- HIPAA Compliance
- Problem Solving Abilities
- Attention to Detail
Timeline
Authorization Specialist
Downriver Medical Assoctiates
12.2019 - Current
Medical Assistant Receptionist
Michigan Institute Of Hematology And Oncology
07.2012 - 12.2019
Medical Assistant
Dr. Jalal Thwainey
01.2008 - 07.2012
Certification - Medical Assistant
Dorsey School of Business
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