Tabitha McAteer
Shelbyville,TN
Summary
Authorization Specialist known for high productivity and ability to complete tasks swiftly and accurately. Possesses specialized skills in medical terminology, insurance verification, and regulatory compliance that ensure smooth authorization processes. Excels in communication, problem-solving, and time management which facilitates effective collaboration with healthcare providers and insurance companies. Proven impact in previous roles includes streamlined auth processes and reduced claim denials
Overview
20
20
years of professional experience
1
1
Certification
Work History
Lead Intake Authorization Specialist
TwelveStone Health Partners
Murfreesboro, TN
02.2019 - Current
- Ensured timely submission of accurate documentation to support payment of services rendered by providers.
- Verified insurance authorizations with payers via telephone or web-based systems.
- Monitored daily workflow queues within the department ensuring all tasks are completed accurately and timely.
- Reviewed authorization requests for accuracy and completeness.
- Provided customer service to internal and external customers related to authorization requests.
- Coordinated communication between providers, patients, payers, and other departments as needed.
- Conducted performance reviews for team members.
- Assessed team member's skillsets and assigned tasks accordingly for optimal efficiency.
Lead Pharmacy Technician
Southern Hills Medical Center
Nashville, TN
07.2017 - 02.2019
- Prepared and filled syringes, vials and IV admixtures with accuracy according to established protocols.
- Performed daily maintenance on laminar flow hoods, clean rooms and other equipment used in compounding operations.
- Calculated drug dosages accurately based on patient weight, height, age and other factors.
- Collaborated with pharmacists on complex cases involving multiple drug therapies administered through an IV route.
- Performed inventory management duties such as restocking shelves and verifying expiration dates.
- Communicated with nursing and medical personnel regarding medication orders or drug therapy issues.
- Filled medication orders in accordance with physicians' instructions and departmental policies.
- Maintained and restocked all Accudose and Pyxis Medstations
Patient Care Coordinator- CPhT
BriovaRx Infusion
Franklin, TN
10.2013 - 07.2017
- Processed orders from physicians' offices via telephone, fax or electronic means.
- Provided patient counseling and education on medication usage, storage, side effects and drug interactions.
- Processed incoming authorization requests and updated customer accounts accordingly.
- Coordinated delivery services of specialty medications to patients' homes or other designated locations.
Pharmacy Buyer
Summit Medical Centers
Hermitage, TN
09.2004 - 05.2013
- Reviewed requisitions from departments within the organization to determine appropriate items and quantities needed for purchases.
- Identified opportunities for cost savings through effective contract negotiation techniques.
- Managed inventory levels by monitoring stock usage and making adjustments as needed.
- Assisted in resolving discrepancies between purchase orders and invoices.
- Created purchase orders and tracked deliveries to ensure timely arrivals.
Education
Pharmacy Technician Certificate - Pharmacy Technology
Tennessee Technology Center of Murfreesboro
Murfreesboro, TN09-2004
High School Diploma -
Riverdale High School
Murfreesboro, TN05-1998
Skills
- Claims Management
- HIPAA Compliance
- Medical terminology expertise
- Insurance Verification
- Extensive knowledge in prior authorizations
- Broad knowledge of Weinfuse, CPR,Navinet, & numerous infusion software
- 20 years of experience in field
Certification
- Certified with PTCB and licensed with State of Tennessee
Timeline
Lead Intake Authorization Specialist
TwelveStone Health Partners
02.2019 - Current
Lead Pharmacy Technician
Southern Hills Medical Center
07.2017 - 02.2019
Patient Care Coordinator- CPhT
BriovaRx Infusion
10.2013 - 07.2017
Pharmacy Buyer
Summit Medical Centers
09.2004 - 05.2013
Pharmacy Technician Certificate - Pharmacy Technology
Tennessee Technology Center of Murfreesboro
High School Diploma -
Riverdale High School
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