Prior Authorization CoordinatorDecember 2006 to November 2012 District Medical Group - Phoenix, AZ
Beneficiary Support Representative IIJanuary 2006 to November 2006 Triwest Health Care Alliance - Phoenix, AZ
Utilization Management CoordinatorJune 2005 to December 2005 USA Managed Care Organization - Phoenix, AZ
Prior Authorization Coordinator
Case ManagemenSeptember 1998 to June 2005 Primary Provider Management Company - Riverside, CA
Front And Back Office Medical AssistantJanuary 1998 to August 1998 Sam Arasoghli M.D - Pomona, CA
Front Office ReceptionistJanuary 1996 to August 1997 Sanford Greenberg M.D - Hacienda Heights, CA
I request prior authorization for the clinics at Maricopa Medical Center and also the Arizona Burn Center.
I know how to use the hospital system Epic, Chatmaxx and Star.
I also work with the AHCCCS program so I am very knowable with the health plans.
I request prior authorization for surgeries for the General Surgery & GYN department; I am knowable with ICD-9 & CPT Codes.
I am also knowable with Microsoft Word, Microsoft Excel, & Microsoft Outlook.
I was responsible for providing extensive phone coverage and high volume of prior authorizations for specialists and over saw and monitored the completion of paperwork and documentation to the computer for future reference.
I also have 6 years' experience working in a telephone queue with a medical prior authorization department.
Completes data entry authorizations and referrals requirements in the medical management system (maxMC).
This includes the decipher of text requests of diagnosis, services, procedures and looks up appropriate codes and transcr.
Front and Back Office Medical AssistantChino Hills Health Care Center - Chino, CA
Corinthian School Inc, Bryman collegeFeb. 1997Rosemead, CA
Los Altos High SchoolJune 1993Hacienda Heights, CA General ED
Fairgrove Adult SchoolLa Puente, CA GED