RMA Resume Example

• Determined and coordinated appropriate level of care to meet individual patient needs.
• Collaborated with different disciplines to provide cohesive care to patients.
• Assisted patients in receiving high-quality, appropriate care with best possible results.
• Lowered costs while improving care quality by coordinating services and collaborating with dedicated healthcare team.
• Listened attentively to patients needs and medical history.
• Identified gaps or barriers in treatment plans.
• Empowered patients to utilize their insurance plan network to seek appropriate and timely care.
• Self directed work environment.
• Call Center Setting.

Podiatry-

• Prepared treatment rooms for patients, including cleaning surfaces and restocking supplies.
• Educated patients about medications, procedures and physician's instructions.
• Scheduled appointments for patients via phone and in person.
• Prior A uthoriztion on medications and MRI's.
• Contacted pharmacies to submit and refill patients' prescriptions.
• Collaborated with physician during examination and procedures, producing needed tools or supplies.
• Discussed proper nail and foot care with patients soliciting preventative care guidelines.
• Reviewed discharge instructions and prescription information for accuracy and delivered to patients at checkout.

Pulmonary-

• Prepared treatment rooms for patients, including cleaning surfaces and restocking supplies.
• Educated patients about medications, procedures and physician's instructions.
• Contacted pharmacies to submit and refill patients' prescriptions.
• Scheduled patients' appointments for office visits and for procedures such as bronchoscopy and thoracentesis.

Prior Authorization Manager for DME-

• Call Setting Environment.
• Answered calls and spoke with physician office to retrieve patients information and diagnosis.
• Performed detailed medical reviews of prior authorization request, following established criteria and protocols.
• Maintained files for referral and insurance information, entering referrals into system.
• Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.

Internal Medicine 6 years-

• Used Eclinical and EPIC software
• Prepared treatment rooms for patients, including cleaning surfaces and restocking supplies.
• Educated patients about medications, procedures and physician's instructions.
• Contacted pharmacies to submit and refill patients' prescriptions.
• Scheduled appointments for patients via phone and in person.
• Monitored medical supply levels to confirm sufficient stock, promptly placing replenishment orders before depletion.
• Prepared patients for examinations, taking vital signs and updating medical histories.
• Obtained variety of blood samples through venipuncture or capillary puncture using syringes, butterfly needles and straight needles.
• Labeled blood vials with critical information like time of collection, date and patient name.

Gastroenterology-

• Used EPIC software
• Prepared treatment rooms for patients, including cleaning surfaces and restocking supplies.
• Prepared patients for examinations, taking vital signs and updating medical history.
• Scheduled appointments for in office visits and procedures.
• Answering patient calls, verifying procedure dates, explaining colon prep and procedure with patient.
• Traveling between 3 hospitals and immediate care.