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Complex Authorization Specialist

Location:
Glendale, AZ, 85308
Posted:
January 27, 2017

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Original resume on Jobvertise

Resume:

Lollie Klaus

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

Glendale, Az ***08

602-***-****

acyidx@r.postjobfree.com

OBJECTIVE

To obtain employment in a medical office where my experience will be further developed and utilized.

EMPLOYMENT HISTORY

10/2010 Present Advanced Senior Care Phoenix, AZ

Home Caregiver

Responsible for providing the assistance necessary to meet a clients Daily Living Activities needs,

(personal care, light housekeeping, shopping, etc.) thus enabling them to remain independent in their own

home.

8/2015 -2/2016 TriWest Healthcare Alliance Phoenix, AZ

Complex Authorization Specialist

Review complex referral requests from VA and civilian providers with appropriate coding and provider

selection. Create an authorization for services requested from the VA. Respond to inquiries regarding

specific aspects of the VA program. Information and assistance includes referrals, authorizations and the

location and use of network and certified providers.

11/2014 - 8/2015 Advanced Pain Management Glendale, AZ

Medical Records/Phone Operator

Request medical records for patient's follow up appointments. Expedited "Release of Information"

requests. Answer 6 phone lines and route calls to appropriate department. Scheduled new patient

appointments, verified insurance and retrieved necessary medical records for the appointment.

8/2013 10/2014 ECS Chart Retrieval Phoenix, AZ

Scheduler/Customer Service Representative

Scheduled for the retrieval of medical records on behalf of various insurance companies for audits.

(remote retrieval of electronic medical records or schedule a technician to go out to the site of the medical

providers office to get the medical records).

11/2007 9/2010 Central Phoenix OBGYN Phoenix, AZ

Front Office/Scheduler

Check in and out patients. (patient demographics, verify insurance, collect co-pays) Schedule new patient

appointments. (referrals, prior authorizations) Answered 5 phone lines. (triage patient phone calls)

Medical Records (pulling, prepping, filing charts) Completed and processed FMLA/Temporary Disability

paperwork for patients.

9/2002 3/2007 Barrow Neurological Group Phoenix, AZ

Medical Records/ Mail Room Clerk

Scanned documents in to EMR for patient charts. Obtained any necessary medical records, lab results, or

x-rays for upcoming patient appointments. Expedited the Release of Information requests. Daily sorting

and distribution of all incoming and outgoing mail, faxes, x-rays and deliveries to proper departments.

EDUCATION

1998 Apollo College Phoenix, AZ

Diploma Medical Administrative Assistant

SKILLS

HIPPA Compliant, EMR, Release of Information, Document Scanning, Medical Terminology, Billing,

Authorizations, Referrals, CPT-4, ICD-9, ICD-10, and UB92 Codes

SOFTWARE

American Medical Solutions, Centricity EMR, Medical Manager, Medisoft, Next-Gen, Soft-Med &

Microsoft Excel, Office, Outlook

REFERENCES

Available upon request.



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