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Medical Office Assistant Prior Authorization Specialist resume example with 5+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Professional Summary

Medical Office Assistant/Prior Authorization Specialist Skills

  • Bilingual: English and Spanish
  • Dentrix and Athena EMR knowledge
  • Insurance Verification
  • Time Management
  • Flexibility and Adaptability
  • Vitals Collection and Documentation
  • Microsoft Office
  • Patient Chart Tracking
  • Data Analysis
  • HCPCS Training
  • Medical Coding
  • Multitasking and Prioritization
  • Check-In and Check-Out Procedures
  • Routine Laboratory Testing
  • Treatment Room Preparation
  • Updating Medical Records
  • Critical Thinking
  • Appointment Scheduling
  • Pharmacy Relations
  • Medication Administration

Highly motivated and committed Medical 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. Detail-oriented and knowledgeable [Job Title] skilled at completing patient-facing and office-based tasks by applying strong multitasking and organizational abilities. Independent worker with extensive medical experience and fastidious nature dedicated to optimal patient care. Conversational [Language] abilities.

Skills
  • Time Management
  • Flexibility and Adaptability
  • Vitals Collection and Documentation
  • Microsoft Office
  • Patient Chart Tracking
  • Data Analysis
  • HCPCS Training
  • Medical Coding
  • Multitasking and Prioritization
  • Check-In and Check-Out Procedures
  • Routine Laboratory Testing
  • Treatment Room Preparation
  • Updating Medical Records
  • Critical Thinking
  • Appointment Scheduling
  • Pharmacy Relations
  • Medication Administration
  • Clear Communication
  • Completing Insurance Forms
  • Electronic Charting
  • Data Entry
Work History
Medical Office Assistant/Prior Authorization Specialist, 11/2019 - Current
Johns Hopkins Medicine White Marsh, MD,
  • Directed patients to exam rooms, fielded questions and prepared for physician examinations.
  • Assisted with routine checks and diagnostic testing by collecting and processing specimens.
  • Sanitized, restocked and organized exam rooms and medical equipment.
  • Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
  • Obtained client medical history, medication information, symptoms and allergies.
  • Arranged surgeries with surgical center, confirming times with patients and preparing admission and consent forms.
  • Assisted with Patient assistance program applications for patients
  • Initiated Prior authorizations for patients for DME supplies and Diabetic/Endocrine Related medications.
  • Called insurances to verify medical and pharmacy coverage benefits for each patient
  • Collected and documented patient medical information such as blood pressure and weight.
  • Tested and recorded blood glucose levels.
  • Performed clerical duties, such as word processing, data entry, answering phones and filing.
  • Called and faxed pharmacies to submit prescriptions and refills.
Medical Office Assistant, 02/2018 - 11/2019
Sv Pediatrics City, STATE,
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
  • Received, recorded and filed medical payments by check, cash and credit card.
  • Contacted patients regarding unpaid and underpaid accounts to resolve issues.
  • Obtained payments from patients and scanned identification and insurance cards.
  • Placed new supply orders, managed inventory and restocked clerical spaces.
  • Contacted hospitals to confirm patients medical histories and prevent inaccurate diagnoses and treatments.
  • Managed office bookkeeping with insurance billing and patient payments.
  • Greeted visitors and initiated triage processes for clients to streamline patient flow.
  • Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
  • Completed administrative patient intakes with case histories, insurance information and mandated forms.
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
  • Called and faxed pharmacies to submit prescriptions and refills.
Front Desk Receptionist/Insurance Verification Specialist, 04/2017 - 11/2019
Pediatric Dentistry Of Suffolk County I & II City, STATE,
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Reviewed 50-100 patient cases per week and verified insurance coverage information.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Verified client information by analyzing existing evidence on file.
  • Managed office logistics by scheduling appointments, maintaining files and collecting payments by using DENTRIX EMR SYSTEM.
  • Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
  • Greeted visitors and initiated triage processes for clients to streamline patient flow.
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
  • Obtained payments from patients and scanned identification and insurance cards.
  • Registered and verified patient records before triage with most up-to-date information.
  • Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Education
Certified Medical Assistant: Medical Assistant, Expected in 05/2016
-
Hunter Business School - Medford, NY,
GPA:
High School Diploma: , Expected in 06/2015
-
Patchogue-Medford High School - Medford, NY,
GPA:
Languages
Spanish :
Native or Bilingual:
Negotiated :
:

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Resume Overview

School Attended

  • Hunter Business School
  • Patchogue-Medford High School

Job Titles Held:

  • Medical Office Assistant/Prior Authorization Specialist
  • Medical Office Assistant
  • Front Desk Receptionist/Insurance Verification Specialist

Degrees

  • Certified Medical Assistant
  • High School Diploma

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