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Prior authorization specialist Resume Example

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PRIOR AUTHORIZATION SPECIALIST
Summary
Medical biller and Coder certified in CPT and ICD-10. Proficient in prior authorizations, eligibility/verification of insurance, billing claims, coding, EHR software and scheduling. Exceptional customer service skills with great accuracy and very detail oriented.
Skills
  • Prior Authorizations
  • Insurance verifications and eligibility
  • Processing Referrals
  • PET scheduling
  • Positron emission tomography(PET) 
  • Radiology scheduling
  • Current Procedural Terminology (CPT)
  • International Classification of Diseases, Tenth Revision (ICD-10)
  • Billing and Coding
  • Billing software
  • EHR and claims
  • Strong client relations
Experience
09/2016 to Current
Prior authorization specialistSteinberg Diagnostic Imaging － Las Vegas, NVPrior authorizations, verify eligibility for all insurances, process/index all referrals, scheduled all patients, processed all patients in the PET department, PET scheduling, and trained 9 employees.
02/2015
ReceptionistDr. Thomas Chen - Internal Medicine － Las Vegas, NV
  • Medical Billing and Coder Post charges, payments, claim edits and submissions, work Insurance correspondence, appeals and A/R. Scheduled patients, checked patients in and out, answer phones, and  referrals. 
01/2009 to 01/2014
OwnerBusy Bees Daycare FCC Family Child Care － Luke, Germany, Arizona
  • Military Services Air force, CPR certified Small business Tax Daily log of activities, absenteeism, finances Personnel files Food handlers card, Food service.
Education and Training
March 2016
Carrington College － Las Vegas, NV
Skills
Administrative, Billing and Coding, prior authorizations verify eligibility of insurance, processed referrals, and scheduling all patients. 
Activities and Honors
Honor student 4.0 GPA
Helped with local food drives.
Helped with local shelters. 
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Resume Overview

Companies Worked For:

  • Steinberg Diagnostic Imaging
  • Dr. Thomas Chen - Internal Medicine
  • Busy Bees Daycare FCC Family Child Care

School Attended

  • Carrington College

Job Titles Held:

  • Prior authorization specialist
  • Receptionist
  • Owner

Degrees


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