Summer Paulson
Medical Office Assistant
Whitetop,VA
Summary
Highly motivated and committed Medical Office Assistant with proven history of superior performance at individual, team and organizational levels. Multitasks and prioritizes workloads with little or no supervision. Detail-oriented professional looking to bring medical background and team-building skills to deadline-driven environment.
Overview
3
3
years of professional experience
6
6
years of post-secondary education
Work History
Medical Office Assistant/ Prior Authorization Specialist
Ashe Memorial Hospital
Jefferson, NC
12.2022 - Current
- Responsible for checking in patient with responsibilities generally including obtaining necessary personal and financial data
- Posts payments received, prepare deposits and balances records
- Answers phone and schedules appointments
- Must display appropriate customer service skills at all times
- Under general supervision, responsible for obtaining and validating prior authorization for scheduled services as dictated by Payer guidelines prior to the patient’s appointment time
- Communicates directly with the patients and referring physicians to obtain appropriate insurance and clinical information required to solicit authorization from the designated utilization management company
- ICD 10 & CPT coding knowledge
- Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
- Performed clerical duties, such as word processing, data entry, answering phones and filing.
- Promoted office efficiency, coordinating charts, completing insurance forms and helping patients with diverse needs.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
Bartender/Server
Freebornes
Laurel Springs, NC
06.2021 - 09.2022
- Opened and closed the bar in a timely and responsible manner
- Gained regular customers by serving beer, wine, and other beverages in a prompt and friendly way
- Prepared a wide selection of mixed drinks and beverages for bar customers and restaurant guests
- Maintained a clean and organized bar area
- Recommended the restaurant’s food menu to bar guests.
- Arranged and prepared tables for customers to offer memorable experiences to guests and foster repeat business.
- Upsold high-profit items such as appetizers and mixed drinks to enhance sales numbers.
- Worked with POS system to place orders, manage bills and handle complimentary items.
Customer Care Associate
Lowe's Home Improvement
Wilkesboro, NC
08.2020 - 03.2021
- Responsible for answering inbound internal and external calls, utilizing our Home Delivery processes to solve inquiries/issues and maintain customer satisfaction
- Process orders and fulfil customer needs to ensure customer satisfaction
- Support delivery operations including inbound calls from internal and external customers, issue identification and resolutions
- Communication with customers to obtain feedback for improving customer in home delivery experiences, assist in problem solving in creating brand loyalty and lasting customer relationships
- Deliver business results and handle multiple tasks in a past paced environment
- Interactions with 3PL service providers, Lowe’s Supply Chain functional teams, Lowe’s distribution nodes (RDC, BDC, ADC, etc.) and store operations
- Process vendor credit for items returned by customers as damaged or defective, to include requesting vendor return authorization and processing product for vendor pickup.
- Followed up on outstanding issues to complete resolutions and maintain customer satisfaction.
- Fielded inquiries via email, chat and text to offer immediate assistance with customers' needs.
- Leveraged sales expertise to promote products and capitalize on upsell opportunities.
- Resolved concerns with products or services to help with retention and drive sales.
- Contributed to continuous improvement team-wide by collecting data on calls and giving managers knowledgeable feedback.
- Maintained good call control to quickly uncover questions and keep call times low.
- Documented caller information in delivery system to initiate standard responses based on particular needs.
Pharmacy Technician
Walgreens
Wilkesboro, NC
12.2019 - 08.2020
- Using pharmacy systems to obtain patient & drug information & process prescriptions
- Assists customer with products, services, & questions
- Performs duties as assigned by Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered correctly, filling prescriptions by retrieving, counting and pouring pharmaceutical drugs, verifying medicine is correct, and checking for possible interactions
- Assists pharmacists in scheduling and maintaining work flow
- Handles telephone calls that do not require personal attention of the pharmacist, including those to physicians
- Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy Manager
- Assists and supports Pharmacy Department on inventory management activities, such as, ordering, unpacking, checking and storing shipment of pharmaceuticals.
- Maintained proper drug storage procedures, registries and records for controlled drugs.
- Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments.
- Counted, measured and compounded medications following standard procedures.
- Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
- Verified patient data and billing information to discover and resolve erroneous bills due to system errors.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Reviewed and verified customer information and insurance provider information.
Education
Associate of Science - Health Administration
Ashworth College
05.2021 - Current
High School Diploma -
Alleghany High School
Sparta, NC 05.2013 - 05.2017
Skills
EMR / EHR
Medical office administration
Insurance claims
Insurance billing procedures
Understanding of medical terminology
Medicare and Medicaid process
Pharmacy and customer records management
Assisting pharmacists
Timeline
Medical Office Assistant/ Prior Authorization Specialist
Ashe Memorial Hospital
12.2022 - Current
Bartender/Server
Freebornes
06.2021 - 09.2022
Associate of Science - Health Administration
Ashworth College
05.2021 - Current
Customer Care Associate
Lowe's Home Improvement
08.2020 - 03.2021
Pharmacy Technician
Walgreens
12.2019 - 08.2020
High School Diploma -
Alleghany High School
05.2013 - 05.2017