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Pre Authorization Specialist Resume Example

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

Motivated new grad 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
Experience
Pre-authorization Specialist , 03/2020 to Current
LabcorpAlamogordo, NM,
  • 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.
Receptionist, 02/2019 to 03/2020
Lobel FinancialDenver, CO,
  • Delivered administrative support to team members, including making copies, sending faxes, organizing documents and rearranging schedules.
  • 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.
  • Welcomed patients to front desk and engaged in friendly conversations while conducting check-in process.
  • 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.
Receptionist, 07/2017 to 03/2020
Lobel FinancialSan Diego, CA,
  • 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.
  • Sorted incoming mail and directed to correct personnel each day.
  • 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.
  • Applied knowledge of medical terminology and insurance processes to support office administration productivity.
Education and Training
High School Diploma: , Expected in 05/2016
Sullivan East High School - Bluff City, TN
GPA:
Certified Billing And Coding Specialist : Medical Insurance Billing And Coding , Expected in 08/2017
Ross Medical Education Center - Johnson City, TN,
GPA:
Licensed Practical Nurse : , Expected in
Tennessee College of Applied Technology - Elizabethton - Elizabethton, TN
GPA:
Certifications
  • CPR Certified

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Resume Strength

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  • Personalization
  • Target Job

Resume Overview

School Attended
  • Sullivan East High School
  • Ross Medical Education Center
  • Tennessee College of Applied Technology - Elizabethton
Job Titles Held:
  • Pre-authorization Specialist
  • Receptionist
  • Receptionist
Degrees
  • High School Diploma
  • Certified Billing And Coding Specialist
  • Licensed Practical Nurse