Teia Amanda Pierce
Liberty,SC
Summary
Experienced in prior authorization within healthcare settings, handling tasks such as ensuring accuracy of patient insurance information and obtaining necessary approvals for medical procedures. Demonstrates strong skills in administrative work, documentation management, and fostering effective communication between patients, providers, and insurance companies. Known for problem-solving capabilities, precision in task completion and ability to positively impact workflow efficiency.
Overview
5
5
years of professional experience
Work History
In-Home Caretaker
Samaritan Bed and Bath
Greenville, SC
09.2023 - Current
- Monitored health and well-being of clients and reported significant health changes.
- Assisted with meal planning to meet nutritional plans.
- Encouraged independence among patients through teaching them how to perform everyday tasks safely.
- Transported clients to medical appointments, errands and recreational outings utilizing personal vehicle.
- Supported bathing, dressing and personal care needs.
Quality Inspector
TaylorMade Golf Company
Liberty, SC
02.2024 - 10.2024
- Inspected finished goods prior to shipment to guarantee they meet company standards.
- Identified acceptable components and rejected defective products.
- Maintained accurate records of all inspection activities.
- Completed the end-of-the-month audit of the end product.
Prior Authorization Specialist
Medbridge Group
Greenville, SC
03.2020 - 09.2023
- Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
- Monitored changes in insurance policies and guidelines to ensure compliance with prior authorization processes.
- Contacted insurance companies to obtain necessary preauthorizations needed for upcoming tests and procedures.
- Coordinated resolutions for issues and appealed denied authorizations.
- Followed up on pending prior authorization requests to ensure timely processing.
- Advised provider offices on proper coding practices that are necessary for successful claim submission.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
Skills
- Compassionate caregiving
- Insurance verification
- Prior authorization processing
- Claims appeal management
- Problem solving
- Attention to detail
- Time management
- Organization and prioritization skills
- Task and work prioritization
Affiliations
- Spending time with family.
- Scrapbooking
- cooking
Timeline
Quality Inspector
TaylorMade Golf Company
02.2024 - 10.2024
In-Home Caretaker
Samaritan Bed and Bath
09.2023 - Current
Prior Authorization Specialist
Medbridge Group
03.2020 - 09.2023
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