Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000,
Professional Summary

Motivated and committed healthcare professional with a proven history of superior performance at individual, team, and organizational levels. Detail-oriented and highly skilled at performing both administrative and clinical tasks. Dedicated to efficiency and maintaining workflow.

  • Organization and Time Management
  • Authorizations
  • Medical Records
  • Medical Billing and Coding
  • Appointment Scheduling
  • EMR / EHR
  • Detail-oriented
  • Insurance Verification
  • Medical terminology
Work History
10/2017 to 02/2020 Prior Authorization Coordinator Lakeside Medical | Arcadia, CA,
  • Managed Office Infusion Department, which included planning and coordinating areas of administration, preparing and processing purchases and invoices, requisitions, scheduling, supporting office teamwork, maintaining inventory and infusion records and billing for all infusions
  • Enrolled patients in copay card programs and researched best option for each patient and their financial needs
  • Contacted insurance carriers to obtain authorizations, notifications, and pre-certifications for procedures and medications
  • Utilized online eligibility systems to verify patient coverage and policy limitations
  • Created master spreadsheet to record procedures, denials, and approvals
  • Entered authorizations into EMR
  • Coordinated resolutions for issues and appealed denied authorizations
  • Helped billing department with correcting denials, which included calling insurance companies, writing appeal letters, etc
  • Updated reference materials with Medicare and third-party payer requirements, guidelines, policies, and lists of accepted insurance plans
  • Answered questions regarding patients bills and posted checks to patient accounts
  • Verified and corrected grammatical composition of work by others. Determined most appropriate layouts, formats, arrangements, and other details
  • Finalized correspondence, reports, presentations, memos and other material of important and often confidential nature from notes, general direction, personal knowledge, and research
  • Reviewed records for completeness, accuracy, and compliance with regulations while applying knowledge of Medicare and third-party requirements
  • Released information to persons or agencies according to HIPAA regulations
08/2007 to 10/2017 Front and Back Office Medical Assistant Hyatt Hotels Corp. | Lahaina, HI,
  • Operated multi-line telephone to answer, screen, or forward calls, schedule and cancel appointments, provide information and take messages
  • Greeted patients on arrival and checked them in through EMR and checked them out after visit
  • Collected forms, scanned insurance cards into EMR and coordinated patient information for billing and insurance processing verifying insurance and printing benefits
  • Collected copayments at time of visit, took payments over phone, mailed monthly statements to patients
  • Oversaw patient registration, insurance verification, form completion, and appointment scheduling to maintain operational efficiency
  • Batch-scanned and indexed patient charts to improve data availability while maintaining security
  • Conducted patient interviews to gather health history, vital signs, and information about current medical issues
  • Prepared treatment rooms for patient examinations, kept rooms neat and clean
  • Assisted physicians with procedures and entered information within patient records and charts
  • Educated patients about medications, procedures, and physician's instructions
  • Performed allergy skin tests and EKG's and administered allergy immunotherapy injections
  • Cleaned and sterilized instruments and disposed of contaminated supplies
  • Contacted pharmacies to submit and refill patients' prescriptions
  • Kept inventory and ordered medical and office supplies
  • Resolved or clarified ICD I0 codes with conflicting, missing, or unclear information by consulting with doctor
  • Responsible for passing Meaningful Use (now MIPS) yearly
  • Ordered labs online (Care360, Labcorp) per doctor's orders
11/2006 to 06/2007 Medical Assistant Community Mental Health Services Of Livingston County | Howell, MI,
  • Explained treatment procedures, medications, diets, or physicians' instructions to patients
  • Helped physicians examine and treat patients by handing them instruments or materials or performing such tasks as giving injections
  • Contacted medical facilities or departments to schedule patients for tests or admission
  • Operated electrocardiogram (EKG) or other equipment to administer routine diagnostic tests
Expected in | Clinical Medical Assistant Boston Reed College , Redwood City, GPA:
Expected in 12/2004 GED | Sequoia District Adult School, Menlo Park, CA GPA:
Additional Information

Indeed Assessment Results

Medical receptionist skills — Expert

July 2021

Managing physician schedules and maintaining accurate patient records

Data entry: Attention to detail — Highly Proficient

November 2020

Maintaining data integrity by detecting errors

Verbal communication — Highly Proficient

November 2020

Speaking clearly, correctly, and concisely

Data entry: Accuracy — Highly Proficient

November 2020

Entering data quickly and accurately

Medical billing — Highly Proficient

June 2021

Understanding the procedures and forms used for medical billing

Active listening — Highly Proficient

June 2021

Actively listening and appropriately responding in conversations

Working with MS Word documents — Highly Proficient

July 2021

Knowledge of various Microsoft Word features, functions, and techniques

Customer focus & orientation — Expert

July 2021

Responding to customer situations with sensitivity

Filing & organization — Expert

July 2021

Arranging and managing information or materials using a set of rules

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Resume Overview

School Attended

  • Boston Reed College
  • Sequoia District Adult School

Job Titles Held:

  • Prior Authorization Coordinator
  • Front and Back Office Medical Assistant
  • Medical Assistant


  • Some College (No Degree)
  • GED

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