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medical receptionist prior authorization spec resume example with 20+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
  • :
Summary

Well-organized and efficient offering 19+ years of experience in medical settings. Capable of coordinating simultaneous tasks to meet customer and business needs. Proficient in managing schedules and providing optimal administrative support to guests and staff.

Skills
  • Patient scheduling
  • Proper sterilization techniques
  • Data entry
  • Specimens collection and processing
  • Stocking supplies
  • Understands medical procedures
  • Information security
  • Scheduling and calendar management
  • Multi-line phone systems
  • Documentation and reporting
  • Customer Service
  • Patient chart documentation
  • Inventory organization
  • Prior Authorizations
  • Electronic Medical Records - NextGen, Aprima, Access, Lytec
Experience
Medical Receptionist, Prior Authorization Spec., 06/2017 to Current
Seattle Spine & Sports MedicineCity, STATE,


  • Communicated with patients to ensure quality of care and develop care plans
  • Submitted all procedure prior authorization requests electronically
  • Liaised effectively with patients, doctors and staff members, assessing medical charts and ensuring high level of communication and interaction
  • Educated patients on treatments, procedures, continuing care and community resources
  • Utilized customer service skills and detailed system knowledge to support clinic operations
  • Scheduled patient appointment and procedures 40-60 phone calls per day
  • Coordinated between patients and healthcare professionals to meet patient needs
  • Scheduled and confirmed patient appointments with patients and healthcare professionals
  • Accessed patient information through variety of office software applications
  • Managed multi-line phone system and pleasantly greeted patients
  • Checked patient insurance, demographic, and health history to keep information current
  • Helped patients complete necessary medical forms and documentation
  • Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass
  • Adhered to strict HIPAA guidelines to protect patient privacy
  • Supported office staff and operational requirements with administrative tasks
  • Transcribed phone messages and relayed to appropriate personnel
  • Notified manager of incidents and potential incidents relating to patients and staff for swift action
  • Obtained payments from patients and scanned identification and insurance cards
  • Performed various administrative tasks by filing, copying and faxing documents
Visitation Supervisor, 06/2014 to 05/2017
Self Employed - Melisa's Visitation ServicesCity, STATE,
  • Arrange monitored/supervised visits 2-4 visits per day for parents and their child/children that are living in out-of-home placements.
  • Provide transportation and ensuring that visits are conducted in accordance with regulations set by family court, Department of Social and Health Services Case Manager, Guardian ad Litem, and parenting coach.
  • Provide redirections as needed to both parents and children.
  • Submit chronological documentary forms completed to agency, case manager for every contact.
  • Mandatory Reporter for child safety.
Patient Care Team Lead, 03/2003 to 06/2014
Planned Parenthood Of The Great NorthwestCity, STATE,
  • Measured average of 25 patients' weight, height, body temperature, pulse rate and blood pressure each day
  • Educated patients in regards to office policies, medical procedure steps, recovery measures and medication instructions
  • Monitored and recorded patient condition, vital signs, recovery progress
  • Reached out to patients to convey lab results and provide care instructions
  • Managed and provided leadership to help staff with direct and indirect patient care
  • Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions
  • Advocated for patients by identifying insurance coverage, communicating care preferences to practitioners
  • Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues
  • Delivered information regarding care and medications to patients and caregivers in comprehendible terminology
  • Observed strict safety measures
  • Helped teen and adult patients understand and feel at ease with tests and minor procedures
  • Coached team members in techniques necessary to complete job tasks.
  • Maintained adequate unit supplies to meet expected patient demands
  • Communicated with Nurse Practitioners patient's concerns and symptoms
  • Answered patient questions and provided take-home materials for further information
  • Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches
  • Experienced in front and back offices, controlling patient flow, collecting payments and assisting in delivery of quality healthcare
  • Tracked and managed inventory for exam rooms and maintained vaccine and expiration logs
  • Performed front desk duties, including answering phones, scheduling appointments, greeting patients and ordering supplies
  • Assisted with technical treatments and entered information in patient records and charts
  • Performed routine tests such as urine dip stick, pregnancy tests and blood draws and preparation to send them to lab
  • Prepared treatment rooms for patients, including cleaning surfaces and restocking supplies
  • Educated patients about medications, procedures and nurse practitioner instructions
  • Assisted patients in preparation for examinations, assessing and recording vital signs
  • Scheduled appointments for patients via phone and in person
  • Provided necessary supplies, support and assistance to medical staff and patients for unit specific procedures
  • Kept facility stocked with necessary supplies, equipment and instruments
  • Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process
  • Assisted nurse practitioner by preparing patients for procedures, including but not limited to IUD's, Implanon insertion/removal, Annual exams or problem exams
  • Trained new team members by relaying information on company procedures and safety requirements.
  • Worked different stations to provide optimal coverage and meet production goals.
  • Cleaned, restocked and prepared exam rooms and medical equipment
  • Conducted patient interviews to gather health history, vital signs and information about current medical issues
  • Ran quality control tests daily and documented results
  • Conducted training and mentored team members to promote productivity, accuracy, and commitment to friendly service.
  • Built strong relationships with customers through positive attitude and attentive response.
  • Monitored team performance and provided constructive feedback to increase productivity and maintain quality standards.
  • Worked with team to identify areas of improvement and devised solutions based on findings.
  • Excellent communication skills, both verbal and written
  • Proven ability to learn quickly and adapt to new situations
  • Resolved problems, improved operations and provided exceptional service
  • Worked effectively in fast-paced environments
  • Acted as team leader in group projects, delegating tasks and providing feedback
  • Self-motivated, with strong sense of personal responsibility
  • Worked well in team setting, providing support and guidance
  • Cultivated interpersonal skills by building positive relationships with others
Education and Training
High School Diploma: , Expected in to Bothell Senior High School - Bothell, WA,
GPA:

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Resume Overview

School Attended

  • Bothell Senior High School

Job Titles Held:

  • Medical Receptionist, Prior Authorization Spec.
  • Visitation Supervisor
  • Patient Care Team Lead

Degrees

  • High School Diploma

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