LiveCareer-Resume

pre authorization specialist resume example with 5+ years of experience

Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Summary

Motivated Licensed Practical Nurse eager to use my new knowledge about nursing to help exceed patient care expectations. Positive and upbeat healthcare team member trained in nursing fundamentals, medical terminology and anatomy. Multitasks in fast-paced environments and provides level-headed emergency response. Highly organized with service-oriented approach. Successful at gathering vital signs information, monitoring patients and maintaining electronic charts with speed and accuracy. Offers exceptional patient support for wide range of acute and chronic conditions.

Skills
  • Telephone etiquette
  • Recordkeeping and data input
  • Data entry
  • Fraud understanding
  • Authorizations knowledge
  • Office equipment operations
  • Organization and efficiency
  • Multitasking and prioritization
  • Multi-line telephone skills
  • Technologically savvy
  • Teambuilding
  • Empathetic and compassionate
  • Medical terminology knowledge
  • Patient Care and Safety
  • HIPAA
  • General housekeeping ability
  • Collecting vital signs
Education and Training
Tennessee College of Applied Technology - Elizabethton Elizabethton, TN Expected in 12/2021 Licensed Practical Nurse : - GPA :
Ross Medical Education Center Johnson City, TN, Expected in 08/2017 Certified Billing And Coding Specialist : Medical Insurance Billing And Coding - GPA :
Sullivan East High School Bluff City, TN Expected in 05/2016 High School Diploma : - GPA :
Certifications
  • CPR Certified
Experience
Labcorp - LPN
Alamogordo, NM, 08/2022 - Current
  • Collected and documented vital signs to track current patient conditions.
  • Communicated concerns regarding patients' status, care and environment to nursing supervisors, clinical care supervisors and case managers.
  • Looked for physical, emotional and symptomatic changes in patient condition and obtained necessary care for medical concerns.
  • Collected biological specimens and packaged for laboratory transport to complete diagnostic tests.
  • Administered prescribed medications noting times and amounts on patient charts.
  • Promoted culture of safety for patients and employees through proper identification, reporting documentation and prevention.
  • Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
  • Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
  • Kept EHR updated with patients' vital statistics, tracking metrics and observations about behaviors or responses.
Lobel Financial - Pre-authorization Specialist
Denver, CO, 03/2020 - 07/2022
  • Explained eligibility details and affordability options to patients with kindness and respect.
  • Called applicants to set up appointments and explain benefits processes.
  • Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
  • Conveyed information to patients about arrival times and preoperative procedures.
  • Educated patients on diagnostic imaging processes and counseled patients to address concerns and answer inquiries.
  • Performed general administrative tasks such as answering phones and scheduling patient appointments.
  • Obtained pre-authorizations for high tech imaging from patient's insurance to ensure payment.
  • Retained strong medical terminology understanding in effort to better comprehend procedures.
Lobel Financial - LPN
San Diego, CA, 03/2022 - 05/2022
  • Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
  • Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
  • Observed strict safety measures, including checking medication dosages before administration to patients.
  • Collected and documented vital signs to track current patient conditions.
  • Communicated concerns regarding patients' status, care and environment to nursing supervisors, clinical care supervisors and case managers.
  • Answered patient and family questions to educate on optimal treatment procedures.
  • Looked for physical, emotional and symptomatic changes in patient condition and obtained necessary care for medical concerns.
  • Followed rehabilitation and treatment care plans to accelerate patient recovery, minimize pain and optimize patient outcomes.
  • Applied interventions to progress patients toward wellness and address maintenance of wellness.
  • Promoted culture of safety for patients and employees through proper identification, reporting documentation and prevention.
  • Interviewed patients to obtain medical history.
Company Name - Receptionist
City, State, 02/2019 - 03/2020
  • Sorted incoming mail and directed to correct personnel each day.
  • Screened and verified visitors for identification credentials and purpose of visit to maintain security of personnel and office environment.
  • Handled payment processing and provided customers with receipts and proper bills and change.
  • Greeted incoming patients and verified paperwork to manage smooth intake processes.
  • Confirmed transactional data by verifying name and payment information and clearly communicating costs and fees to patients.
  • Applied knowledge of medical terminology and insurance processes to support office administration productivity.
  • Helped patients complete paperwork and explained processes and procedures.
  • Adhered to all HIPAA requirements to safeguard patient confidentiality.
Company Name - Receptionist
City, State, 07/2017 - 03/2020
  • Scheduled and confirmed appointments.
  • Answered and directed incoming calls using multi-line telephone system.
  • Delivered administrative support to team members, including making copies, sending faxes, organizing documents and rearranging schedules.
  • Processed payments and updated accounts to reflect balance changes.
  • Welcomed patients to front desk and engaged in friendly conversations while conducting check-in process.
  • Managed office paperwork, including scanning documents and routing business correspondence.

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Resume Overview

School Attended

  • Tennessee College of Applied Technology - Elizabethton
  • Ross Medical Education Center
  • Sullivan East High School

Job Titles Held:

  • LPN
  • Pre-authorization Specialist
  • LPN
  • Receptionist
  • Receptionist

Degrees

  • Licensed Practical Nurse
  • Certified Billing And Coding Specialist
  • High School Diploma

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