Drug Authorization Coordinator

KIAYA

BAGGETT

DRUG AUTHORIZATION

COORDINATOR

***- ***-****

ad10qm@r.postjobfree.com

Cleveland, TN 37323

CONTACT

SKILLS

** ***** ** ******** *****

experience

•

** ***** ** ******/*********nal

experience

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Ability to interact with people and

teammates effectively and efficiently

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• Exceptional multitasking skills

• Fluent in medical terminology

• Time management skills

• Interpersonal skills

• Excellent problem-solving skills

• Very organized

• Leadership skills

• Skype/Tiger Connect knowledge

Drug Authorization Coordinator

Tennessee Oncology, Nashville, TN

Patient Service Rep/Front Office Team Lead

Tennessee Oncology, Nashville, TN

EXPERIENCE

September 2018 - Present

• Verifies and determines eligibility and benefits for all IV and injectable drugs Runs daily reports to monitor all IV and injectable drug authorizations and prioritize incoming prior authorization requests

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Submits prior authorizations using multiple insurance portals, over the phone, or

• via fax in a timely manner

Reviews provider notes, scans, pathology, medications, labs, and procedures to ensure medical necessity

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• Communicates with providers about medical policy and NCCN requirements

• Coordinates P2P's with providers and insurance companies as needed

• Maintains and works logs of denied claims and submits appeals when applicable

• Submits applications for free drug when warranted Communicates with patients directly when there are issues regarding insurance

• coverage/exceptions to buy and bill exclusions

Monitors authorization expiration dates and contacts insurers to obtain extensions as needed

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Participates in meetings with internal teams regarding updates or changes to policies or procedures related to authorizations

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Performs follow-up activities to ensure timely processing of authorizations by

• insurance companies

December 2013 - September 2018

• Promoted to Front Office Team Lead in 2015

Scheduled procedures, return and referral appointments, outpatient scans and treatments

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Utilized strong organizational skills to manage multiple tasks simultaneously

• with accuracy and efficiency

• Managed physician schedules and held meetings/morning huddles Scanned medical documents/orders and fulfilled legal requests for medical records

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Trained new hires on company policies and procedures related to the

• receptionist role

• Held front office meetings in conjunction with managers Cross-trained in: reception, medical records, new patient liaison, and phone operator

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• Traveled to satellite clinics for assistance/coverage

• Cross trained satellite employees with ONCO EMR system rollout

• Spire Wellness Team Captain

Admin Assistant/File Clerk

Leitner, Williams, Dooley & Napolitan, PLLC, US

April 2013 - December 2013

Provided administrative support to the department by performing clerical duties such as photocopying, scanning, faxing, and data entry

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• Prepared docket calls for multiple districts

• Organized physical files and created digital versions for archiving purposes

• Maintained confidentiality of sensitive documents and information Updated existing file systems with new material as needed while adhering to established protocols

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• Processed incoming mail promptly and accurately

• Submitted invoices to clients for payment

• Completed receptionist and secretarial duties as needed Pre-Dentistry

Chattanooga State Community College

University of Tennessee (UTC)

EDUCATION

January 2001

January 2001

References available upon request

REFERENCES

Contact this candidate