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Medical Receptionist Prior Authorization

Location:
Dallas, TX
Salary:
18
Posted:
February 15, 2024

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Resume:

Alexandria Sisneros

Dallas, TX

Authorized to work in the US for any employer

Work Experience

Floor Associate/Cashier

Dollar General - Fort Worth, TX

April 2023 to Present

Cashier and stocking

Amazon Warehouse Associate

Amazon Warehouse - Haslet, TX

• Fulfilling product order invoices

• Inspecting manufactured products for defects and damage

• Picking inventory for package assembly

• Creating shipping labels

• Loading packages onto delivery trucks for shipping

• Creating tracking reports

• Ensuring that regulatory compliance requirements are met Prior Authorization Specialist

ASP Cares Pharmacy - Farmers Branch, TX

• Discuss medications, insurance and prior authorization documents with patients.

• Appeal insurance companies after prior authorization refusals.

• Assess accounts for completeness and accuracy.

• Review chart documentation to ensure patient meets medical policy guidelines

• Prioritize incoming authorization requests according to urgency

• Obtain authorization via payer website or by phone and follow up regularly on pending cases

• Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations

• Initiate appeals for denied authorizations

• Respond to clinic questions regarding payer medical policy guidelines

• Contact patients to discuss authorization status • Other duties as assigned Education

Associate in Arts (AA) in Medical Assisting

Keiser University - Orlando, FL

March 2003 to June 2006

Associate's degree in Medical Assisting

Kaiser university - Orlando, FL

April 2003 to May 2003

Skills

• Warehouse Experience

• Materials Handling

• Shipping & Receiving

• Microsoft Word

• Customer service

• Customer support

• Time management

• Prior Authorization Specialist

• Organizational skills

• Clerical experience

• Medical records

• Phone etiquette

• Office experience

• Computer skills

• Typing

• Cash register

• Negotiation

• Documentation review

• Front desk

• HIPAA

• Medical receptionist

• Communication skills

• EMR systems

• Medical office experience

• Cash handling

• Medical terminology

• Data entry

• Administrative experience

• Filing

• Medical administrative support

• Insurance verification

• Managed care

• Microsoft Office

• Research

• Authentication

Assessments

Customer focus & orientation — Proficient

March 2023

Responding to customer situations with sensitivity Full results: Proficient

Customer service — Proficient

March 2023

Identifying and resolving common customer issues

Full results: Proficient

Medical receptionist skills — Proficient

February 2023

Managing physician schedules and maintaining accurate patient records Full results: Proficient

Retail customer service — Proficient

March 2023

Responding to customer situations in a retail setting Full results: Proficient

Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.



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