Medical Assistant Prior Authorization
Resume:
FARHANA SIDDIQUE
PATERSON, NJ
***************@*****.***
Professional Summary:
Highly motivated and committed Medical Assistant with proven history of superior performance at individual, team and organizational levels. Multitasks and prioritizes workloads with little or no supervision. Detail-oriented professional looking to bring medical background and team-building skills to deadline-driven environment. Ready to help team achieve company goals. Enthusiastic and eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of and training Motivated to learn, grow and excel. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
SKILLS:
Electronic health records
EMR Systems
HIPAA Guidelines
Computer Proficiency
Checking Patient Details
PRIOR AUTHORIZATION
REFERRAL
Insurance Verification/Eligibility
Knowledge of ICD & CPT
Past Due Balance Management
Medical Records Management
Patient Scheduling
Multi-Line Telephone System Operation
Telehealth
Vitals Collection and Documentation
Medical Terminology
Organization and Time Management
Scheduling Tests and Procedures
Pharmacy Correspondence
ADS BILLING
Certified Medical Assistant/Receptionist
June 2008 -Current
Office manager (2008 to 2016 with Dr. Patel’s)
GANJ- Woodland Park, NJ
Communicated clearly and effectively with patients to verify information, determine purpose of visit and record medical history.
Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
Taught patients about medications, procedures, and care plan instructions.
Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed, Refills and send Prescriptions
Performed medical records management, including filing, organizing and scanning documents.
Verified patient insurance coverage and collected required co-payments.
Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Researched denied claims and contacted insurance companies to resolve these issues.
Responded to inquiries from healthcare providers regarding prior authorization requests.
Scheduled appointments with applicants to gather information and explain benefits processes.
Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
Prior authorization for medications and medical diagnostic procedure.
Certified Medical Assistant :
DR.LANEVE, BELLARDINI, PAVLOU AND KOSC PA
WOODLAND PARK, NJ
August 2000 – January 2006
Completed clinical procedures and gathered patient data for interpretation by physician.
Collected and documented patient medical information such as blood pressure and weight.
Assisted with routine checks and diagnostic testing by collecting and processing specimens.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Oriented and trained new staff on proper procedures and policies.
Prepared lab specimens for diagnostic evaluation.
Completed EKGs and other tests based on patient presentation in office.
Medical Records, Refills, order labs and diagnostic procedures/tests.
Referral and Authorizations.
Education summary
CERTIFIED MEDICAL ASSISTANT
Fortis Institute
Wayne, NJ
June 2000
High School Diploma
JFK High School
Paterson, NJ
Jun 1998
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