Nicole Ellis, CMA
ad4x1w@r.postjobfree.com
*** ******** **. ******** **, 08873 973-***-****
Certified Medical Assistant with ten (10) years of experience in family medical practice along with additional healthcare skills.
Detailed educational knowledge and core skills include:
Outstanding communication skills, i.e., written and oral
Ability to work independently and meet deadlines
Vital signs and filing charts
Surgical Tray Set-Up skills
Knowledge of medical terminology i.e., THPPP/Epic EMR
Skilled organizer and problem solver, i.e., troubleshooting, with the ability to consider all options before making a decision
Knowledge with standard policies and procedures, computer skills, companies code of business conduct and ethics with the state laws
Educational Background
Essex County College Newark, New Jersey
05/2011
Registered Nurse (RN)
Sanford Brown Institute Iselin, New Jersey
05/1999
Certification: Medical Assistant
Professional Experience
ATLANTIC HEALTH SYSTEM 11/2012 - Present Summit, New Jersey
Prior Authorization Specialist
Manage correspondence with insurance companies, physicians and patients as required
Process referrals and submit clinical supporting documentation to insurance carriers to expedite prior
authorization
Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up
is performed
Consult with supervisor or pharmacist to obtain clearance that treatment regimen is appropriate
Look through denials and submit appeals if requested for approval
Proactively work on prior authorizations that are due to be expired
Front End Representative/Clerical 06/2004 - 11/2012
Greeted and registered patients, referrals and pre-authorizations,
Obtained and managed insurance documents, archive medical records, manage telephones on a
daily basis, and collect and post co-payments and balances, maintain deposits and cash drawers,
oversee office supplies
SUMMIT MEDICAL GROUP 05/1999 - 06/2004 Summit, New Jersey
Medical Assistant
Greeted, informed and educated patients
Collected patients medical history and recorded vital signs
Performed general laboratory tests, examinations and completed insurance forms
Scheduled appointments; Prepared and dispensed medications