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Patient Registrar-Prior Authorization Specialist Resume Example

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PATIENT REGISTRAR-PRIOR AUTHORIZATION SPECIALIST
Professional Summary
Over 15 years of healthcare experience, Dedicated skilled in tackling administrative and patient support in a fast paced medical office.Strong ability to communicate clearly and effectively to patients and staff.
Skills
  • Athena system,
  • EyeMd
  • Management
  • Prior Authorization
  • Insurance Verification
  • Billing
  • EMR
  • Scheduling
  • Clerical
  • Word
  • Outlook
  • Receptionist
  • Medical Records
  • Coding
  • Certifications and Licenses
  • Medical Assistant-Medical Transcriber
  • April 1994 to Present
  • Nursing Assistant
  • October 2012 to Present
  • Assessments
  • Customer Service Skills -- Highly Proficient
  • August 2018
  • Measures a candidate's skill in evaluating approaches to customer service & satisfaction.
  • Full results: https://share.indeedassessments.com/share_assignment/iq6a7ke6iqkh-it
  • Electronic Medical Records Knowledge -- Expert
  • September 2019
  • Knowledge of EMR data, associated privacy regulations, and best practices for EMR use.
  • Full results: https://share.indeedassessments.com/share_assignment/sn1ept4joayyofxs
  • Verbal Communication -- Proficient
  • September 2019
  • Speaking clearly, correctly, and concisely.
  • Full results: https://share.indeedassessments.com/share_assignment/9bqyil6simoi-8t
  • Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued
  • Development in any professional field.
  • Administrative support, Blood pressure, Customer service, Front office, Director, Monitors, Speaking, Surgery
  • Scheduling, Clerical, Customer Service Skills, HIPAA regulations, Medical terminology, Nursing, Receptionist, Telephone
  • Appointments, Com, Data entry, Image, Meetings, Nursing home, Reception, Telephones
  • Changes bed linens, Excellent interpersonal skills, Direction, Insurance, Office, Assists patients, Research, Phone
  • Benefits, Copying, Electronic Medical Records, Iq6, Outlook, Policies, Scheduling, Verbal Communication
  • Billing, Customer relations, Filing, Letters, Word, Coding, Statistics, Vital signs
Work History
Patient Registrar-Prior Authorization Specialist, 10/2014 to Current
Company Name – City, State
  • Responsibilities responsible for filing requests for prior authorization for all insurances that require based upon plan or insurance contract.
  • Obtain, and document all prior authorizations (or denials of same) appropriately and in a timely manner obtain information about patient insurance coverage, benefits and eligibility.
  • Responsible for maintaining and updating internal listing of insurance carriers that require authorization.
  • Runs system generated reports to verify procedures by insurances requiring authorization are being captured.
  • Assists billing team with obtaining retro authorizations.
  • Coordinates with scheduling, back office, and front office on prior authorization activity.
  • Maintains the strictest confidentiality in accordance with HIPAA regulations and clinic requirements.
  • Performs related work as required.
  • Coverage for, Politely greeting patients and visitors Explaining the practice procedures to new patients.
  • Registering patients.
  • Checking patients in and out Accurately collecting information and personal details about patients.
  • Arranging any necessary follow up appointments for patients Answering telephone calls and dealing with face to face enquiries.
Medical Receptionist, 12/2012 to Current
Company Name – City, State
  • Politely greeting patients and visitors Explaining the practice procedures to new patients.Dealing with all requests in an efficient and courteous manner.Opening post and forwarding it onto the relevant parties.Writing letters and correspondence on behalf of the surgery and medical staff.Scheduling appointments for patients.Updating patients demographics in system with appointments and personal details.Maintaining a clean reception area to show a professional image.Screening enquiries for the doctors and medical staff.Registering new patients.
  • Checking patients in and out.Accurately collecting information and personal details about patients.Arranging any necessary follow up appointments for patients with hospitals or with other healthcare professionals.Ensuring that all medical samples are correctly labelled.Answering telephone calls and dealing with face to face enquiries.
  • Arranging prescriptions for patients.Obtain prior authorizations for specialty appointments.
Customer Service Representative, 10/2005 to 05/2007
Company Name ��� City, State
  • Carefully reviewed medical records for accuracy and completion as required by insurance companies.
  • Professionally and courteously certified appointment times with patients.
  • Registration of patient,thoroughly and accurately entering patient demographic/ insurance information.
  • Verify patient insurance, monitors preauthorization Posses working knowledge of medical terminology.
  • Identify,document and resolve patient's complaints.
  • Proficient in phone and reception skills.
  • Exhibit excellent interpersonal skills and ability to relate positively to all customers,both internal and external.
  • Adhere to policies regarding confidentiality of medical record information,release of records, and informed consent.
Senior Medical Assistant, 04/1994 to 10/2005
Company Name – City, State
  • Assisted physicians with surgical procedures Clean and sterilize instruments and disposed of contaminated supplies.
  • Monitored vital signs,weight,blood pressure and pulse.
  • Recorded patients medical history and vital statistics.
  • Processed physicians orders in thorough and accurate manner.
  • Demonstrate consistence use of standard precautions and proper body mechanics and follow OSHA Guidelines.
  • Performed clerical duties,such as answer telephones ,filing and copying.
Education
Medical Assistant, Nurse Assistant YSC ProgramMedgar Evers College Access Careers - City, State
Willing to relocate: Anywhere
Additional Information
  • Willing to relocate: Anywhere, Authorized to work in the US for any employer
  • Additional Information
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Resume Overview

School Attended

  • Medgar Evers College Access Careers

Job Titles Held:

  • Patient Registrar-Prior Authorization Specialist
  • Medical Receptionist
  • Customer Service Representative
  • Senior Medical Assistant

Degrees

  • Medical Assistant, Nurse Assistant YSC Program

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