Tamara Perkins
Washington
Summary
Detail-oriented Prior Authorization Specialist proudly offering over 3 years' experience managing medical documents meticulously. Polished professional known for working closely with insurance companies to alleviate denied claims and obtain necessary prior approvals for services. Multitasks expertly in fast-paced environments. I am a reliable professional offering an extensive career promoting positive customer experiences. Prior Authorization Specialist boasting expertise in managing and eligibility information for members and groups.
Overview
10
10
years of professional experience
Work History
Clinic Operations Representative
Children's National Medical Center
10.2021 - Current
- Handled customer needs and issues by working with representatives and customers directly.
- Supervised teams to monitor for correct execution of tasks.
- Enforced safety, security, quality and performance procedures, rules and requirements.
- Leveraged patient feedback and performed continuous process improvements to streamline day-to-day business operations and patient satisfaction.
- Monitored number of patients and wait times to create efficient flow of patients from check-in to check-out.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
Prior Authorization Specialist
Maryland Oncology Hematology
05.2020 - 10.2021
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Researched denied claims and contacted insurance companies to resolve these issues.
Senior Administrative Assistant
Georgetown University Hospital
05.2015 - 04.2020
- Delivered top-notch administrative support to office staff, promoting excellence in office operations.
- Kept files and records in content management systems such as MS SharePoint, EXCEL, and others.
- Supported program operations by preparing and updating documents, reports and spreadsheets.
- Maintained personal schedule, professional calendar and individual appointments for senior staff members.
- Responded to emails and other correspondence to facilitate communication and enhance business processes.
- Prepared presentations, materials and documentation for use executives in meetings and engagements.
- Utilized scheduling software to create and maintain appropriate schedules for thoracic surgery.
- Provided scheduling support and coordination of 20-30 appointments daily.
ER Registration Representative
United Medical Center
04.2013 - 04.2015
- Exceeded department-specific productivity standards, collection targets, quality audit scores for accuracy productivity and collection standards for registrations and insurance verifications.
- Facilitated scheduling in identified areas for ancillary testing.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
Education
Associate of Science - Social Work
Trinity Washington University
Washington, DC06.2018
Anacostia High School
Washington, DC06.2013
Skills
- Project Management
- Critical and Creative Thinking
- Research and Analytical Skills
- Timeline Planning and Management
- Professional Correspondence
- Direct and Indirect Patient Care
- Complex Problem-Solving
- Delinquent Account Notification
- Community Outreach
- Medical Billing
- HIPAA Compliance
- Medical Terminology
Timeline
Clinic Operations Representative
Children's National Medical Center
10.2021 - Current
Prior Authorization Specialist
Maryland Oncology Hematology
05.2020 - 10.2021
Senior Administrative Assistant
Georgetown University Hospital
05.2015 - 04.2020
ER Registration Representative
United Medical Center
04.2013 - 04.2015
Associate of Science - Social Work
Trinity Washington University
Anacostia High School
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