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Prior Authorization Public Health

Location:
Bessemer, AL
Salary:
23.00
Posted:
April 15, 2024

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Resume:

kingdomhall****@Adrian yahoo.Mireles-com Bluff Park, Smith +1-205-***-****

WORK HISTORY

Certified Tumor Registrar ER Prior Authorization Professional Leadership at Blue Pearl Emergency Specialty Hospital

07/2022 - 04/2024 (2 years)

The job of a Tumor Registrar involves collecting, organizing, and maintaining data on cancer patients.

They ensure accurate and comprehensive records of cancer diagnoses, treatments, and outcomes are

kept for research, treatment planning, and public health purposes. Tumor Registrars play a crucial role

in cancer surveillance, quality improvement, and advancing medical knowledge in oncology.

Job Title Veterinary Prior Authorization Specialist Job Description

* Review and assess treatment plans recommended by veterinarians for specialty cases.

* Verify insurance coverage and eligibility for specific treatments and procedures.

* Communicate with insurance providers to obtain prior authorization for treatments and procedures.

* Coordinate with veterinarians to gather necessary documentation and information for authorization

requests.

* Ensure compliance with insurance requirements and regulations.

* Maintain accurate records of authorization requests and outcomes.

* Provide support and guidance to veterinary staff regarding insurance- related queries and concerns.

* Stay updated on insurance policies, procedures, and guidelines related to veterinary care.

* Collaborate with billing and administrative staff to ensure timely processing of authorization requests.

* Assist with appeals process for denied authorization requests when necessary.

SR. EXECUTIVE RECRUITER Medical Specialist Patient Coordinator at Interim HealthCare

01/2022 - 07/2023 (2 years)

Scheduled all Nursing personal RN, LPN, CCMA,HHA for Hospitals, Assistant Living, Drug Rehabilitation

facilities.

Neurology Specialist Accountant Professional Leadership at UAB Hospital of Birmingham Pfizer

08/2020 - 01/2022 (1 year)

1. Work at UAB giving out covid vaccinations downtown at Spain and Margaret emergency covid site.

2. RN Lead Surgery Technician preparing needles for patients that were receiving the covid vaccination

Pfizer

1. Make sure that all patients were all accounted for it for safety and wellness or any incoherent measures

after they received their covid vaccinations.

Dedicated to providing compassionate care and staying abreast of the latest advancements in the field.

Skilled in conducting thorough evaluations, developing tailored treatment plans, and fostering strong

patient-doctor relationships.

Supervisor Accountant BCBA Children s Hospital of Birmingham at Children s Hospital of Birmingham

06/2019 - 07/2020 (1 year)

Dedicated BCBA Case Supervisor with a focus on providing exceptional behavioral support services

for children at Birmingham Alabama ENT Children s Hospital. Proficient in conducting comprehensive

assessments, developing individualized treatment plans, and overseeing implementation by a

multidisciplinary team. Skilled in training and mentoring staff, ensuring adherence to best practices,

and collaborating with families to optimize outcomes. Committed to delivering compassionate care and

promoting the well-being of children with diverse needs. Tumor Regestatar Professional Leadership Patient Coordinator Tech at Schaeffer Eye Center

03/2017 - 06/2019 (2 years)

The job of a Tumor Registrar involves collecting, organizing, and maintaining data on cancer patients.

They ensure accurate and comprehensive records of cancer diagnoses, treatments, and outcomes are

kept for research, treatment planning, and public health purposes. Tumor Registrars play a crucial role

in cancer surveillance, quality improvement, and advancing medical knowledge in oncology.

Experienced professional leader adapt at guiding teams towards achieving organizational goals. Skilled

in strategic planning, resource management, and fostering a positive work culture. Proven track record

of driving innovation, implementing effective processes, and inspiring high levels of performance.

Lead Mescal Biller Took Patients to the back to exam Rooms. Schedule apt, Billing, A P A R, Answer multi-line phone, Sign animals for Dog Training classes,

checks in out patient post-opp apt walk patients, Event Manager Coordinator, fax, email, and create new

patient files. Give patient R X medicine while being discharge. Help apply any medications to animals.

Work with instructor with patients testing animal behavior problems. Medical Billing Representative at Kelly Animal Clinic Hospital 10/2014 - 01/2017 (2 years)

Duties Assisting Patients to the back and make appointment. Medical Billing Representative Head for

Medicare insurance, member Service rep to Adopting pets into a loving home(25). Head of promotional

events, Bill Schedule apt, Billing, A P A R, Answer multi-line phone, Sign animals for Dog Training classes,

checks in out patient post-opp apt walk patients, Event Manager Coordinator, fax, email, and create new

patient files. Give patient R X medicine while being discharge. Help apply any medications to animals.

Work with instructor with patients testing animal behavior problems. Made appointments for patients

for grooming.

Member Service Leasing Agent at Great Expectations 07/2011 - 10/2014 (3 years)

Duties included Dating consultant that provided excellent customer service to perspective clients, dataentry,

taking customer service calls in a timely and efficient manner, accurately keyed and verified

confidential client information for future dating candidates, and performed receptionist duties as needed.

Medical Assistant Receptionist at Cahaba Mountain Brook Animal Clinic 07/2009 - 09/2011 (2 years)

Duties Took Patients to the back to exam

Rooms. Schedule apt, Billing, A P A R, Answer multi-line phone, Sign animals for Dog Training classes,

checks in out patient post-opp apt walk patients, Event Manager Coordinator, fax, email, and create new

patient files. Give patient R X medicine while being discharge. Help apply any medications to animals.

Work with instructor with patients testing animal behavior problems. Applied Behavioral Analysis (ABA) Therapist at Children s of Alabama ENT SOUTH

05/2003 - 05/2006 (3 years)

Duties Work Special Needs Ed with all Mental and behavioral Pediatrics Schedapt for new pts. rt postop

BMT overbook Assisting Patients and took them to the exam room. Cancel apt reschedule apt Placed in 200 or more patient referrals into to system

For new patients that had to be entered into the computer by the end of the day. Faxed Rx to pharmacies,

clinics, and Dr. Offices upon request.

Administrative Assistant Billing Rep at Caretenders Linacare 07/1997 - 07/1999 (2 years)

Duties Answered 12 multi-line phones for departments of DME Infusion, Respiratory Therapist MET

Warehouse department. Make appointments for patients to pick up oxygen and other medical equipment.

Fitted patients to O2 tanks nasal canals, and other medical equipment. Faxed, emailed, and shipped

medical equipment. Sent out reminders for patients for their appointments once a month. Filing, A R,

A P, Worked on pick-up orders for the MET Dept.

Duties included Provided excellent customer service for perspective customers, answered multi-line

customer service calls in an efficient and timely matter, received and reconciled over-the -counter

payments via Western Union and Money Gram, cashier, refunds and exchanges, mail off defective

products that customer may have purchased that broke Actions Mark as Unread Mark as Headstart

Totalitarianism resume hair products ma Antidisestablishmentarianism folder star search untitled

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EDUCATION

Ultimate Medical Academy

Graduated 2023

Associate Degree in Health and Human Services

Ashford University

Graduated 2024

Bachelor of Science in Applied Behavior Analysis

SKILLS

SR.Leadership/ Recruiter/ Spec, 5 years

LANGUAGES

English, Moderate

SOCIAL NETWORKS

Facebook, https://Alexavier Escobar

Twitter, https://None

Linkedin, https://None

ABOUT ME

I served in the military

I have a drivers license

I have management experience

I have a security clearance



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