Tanjuanika Thomas
Lithonia,Georgia
Summary
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
8
8
years of professional experience
Work History
Prior Authorization Specialist
Atlanta Center For Reproductive Medicine
02.2024 - Current
- Collaborate with physicians to gather essential clinical data for prior authorization submissions.
- Analyze medical records to assess approval criteria for authorization requests.
- Reduce turnaround time for prior authorization requests by utilizing electronic submission methods.
- Verify provider eligibility and adherence to authorization requirements.
- Communicate with insurance carriers to obtain prior authorization for testing and procedures.
Care Coordinator
Emory University Hospital
07.2021 - 01.2024
- Executed effective management of patient caseloads, ensuring timely interventions and follow-ups.
- Maintained detailed records of services and patient conditions through company software and databases.
- Assisted in verifying patient's medication list, ensuring accuracy and preventing potential medication errors at discharge.
- Coordinated proper discharge planning with providers, social workers such as physical therapy, occupational therapy, social work and/or financial assistance.
Mental Health Associate
Laurel Heights Hospital
12.2016 - 06.2020
- Enhanced treatment outcomes through detailed documentation of patient progress and timely clinical communication.
- Collaborated with multidisciplinary teams to provide comprehensive support during crisis situations.
- Maintained accurate records in adherence to regulatory compliance standards.
- Administered medications promptly as prescribed by treatment team.
Education
Bachelor of Science - Business Administration And Management
Atlanta Metropolitan State College
Atlanta, GA05-2016
Skills
- Medical terminology knowledge
- Effective communication skills
- Data entry
- ICD-10 coding
- HIPAA compliance
Timeline
Prior Authorization Specialist
Atlanta Center For Reproductive Medicine
02.2024 - Current
Care Coordinator
Emory University Hospital
07.2021 - 01.2024
Mental Health Associate
Laurel Heights Hospital
12.2016 - 06.2020
Bachelor of Science - Business Administration And Management
Atlanta Metropolitan State College
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