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Prior Authorization Coordinator Resume Example

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PRIOR AUTHORIZATION COORDINATOR
Professional Summary
Hard working and self motivated Office Clerk. Recognized for my strong attention to detail, accuracy, and quality of my work. Seeking Clerical position where my high motivation and ownership style will contribute to the success of the company.
Skills
  • Hospital inpatient and outpatient records
  • Records maintenance professional?
  • Familiar with commercial and private insurance carriers
  • Payment Posting
  • File Room/Medical Records
  • Prior Authorizations
  • Refferals
Work History
11/2010 to 11/2011
Prior Authorization CoordinatorDistrict Medical Group (DMG) – 2929 East Thomas Road
  • Request/receive referrals and prior authorizations for various specialty office visits.
  • Acquire and maintain filing system for all authorized office visits.
  • Ensure all documentation for specialty services is accurate and accessible for billing department.

01/2009 to 11/2010
Payment PosterDistrict Medical Group (DMG) – 2929 East Thomas Road
  • Entered payments/denials from Medicare, Commercial, Medicaid insurance company\'s.
  • Balanced daily and month end payments received.
  • Evaluate and follow-up on all denied payments to possibly receive payment.
  • Reconcile credit balances.

06/2007 to 01/2009
File Room ClerkDistrict Medical Group (DMG) – 2929 East Thomas Road
  • Scan medical payment files into the intranet system.
  • File and locate medical records for billing department.
  • Transmit and receive archived records.

05/2006 to 06/2007
Data Entry ClerkDistrict Medical Group (DMG) – 2929 East Thomas Road
  • Entered all patient demographics, diagnosis, and procedure codes into billing system.
  • Obtained/maintained all pertinent data for reconciliation of payment.
  • Retrieved medical records as requested for auditing purposes.

Education
2012
GED:
Arizona Department Of Education - 1535 West Jefferson Street
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Resume Overview

Companies Worked For:

  • District Medical Group (DMG)

School Attended

  • Arizona Department Of Education

Job Titles Held:

  • Prior Authorization Coordinator
  • Payment Poster
  • File Room Clerk
  • Data Entry Clerk

Degrees

  • GED :

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