Medical Receptionist Prior Authorization

Amanda Krise

Margate, Florida

941-***-****

*.*******@*******.***

Objective:

To transition from a medical receptionist role to a Prior Authorization Specialist, I aim to utilize my healthcare background, administrative skills, and attention to detail. My objective is to efficiently secure pre-approval for patient treatments, ensuring seamless access to critical healthcare services without delay or financial burden. I am dedicated to maintaining patient privacy, adhering to regulations, and contributing to improved patient outcomes.

Qualifications / Programs:

Primary Care Insurance Verification Windows Programs

Gastroenterology Multi-Provider Office eClinical Works (ECW)

Otolaryngology Referral / Authorization Athena

Medical Terminology Microsoft Office Programs Cohere

HIPAA Regulations Google / Chrome

Work History:

Gastro Health - Dr. Abitbol, Boca Raton, FL

Procedure Scheduler (12/2022 – 5/2023)

Managed patient scheduling for provider and ARNP

Coordinated administrative tasks and patient check-outs

Provided procedure preparation instructions and location details

Verified patient information and requested necessary documentation

Processed payments and verified insurance benefits

Obtained authorizations for procedures and diagnostic testing

Florida Digestive Health Specialists, Lakewood Ranch, FL

Procedure Scheduler (3/2022 – 10/2022)

Managed administrative tasks for multiple providers across two locations

Coordinated patient check-outs and procedure scheduling

Verified insurance benefits and obtained authorizations

Updated patient demographics and distributed documentation

Assisted in creating and updating office documents

University Family Healthcare, P.A., Lakewood Ranch, FL

Medical Receptionist (6/2021 – 3/2022)

Managed patient check-in/out and appointment confirmations

Processed payments and maintained balanced drawers

Handled incoming calls and faxes

Ensured patient privacy and EHR accuracy

Dr. Joseph C. Millin, M.D., D.O, Sarasota, FL

Medical Receptionist (11/2020 – 6/2021)

Managed patient check-in/out and appointment scheduling

Verified insurance and collected payments

Maintained HEDIS requirements

Processed required documentation

Greenberg Dental & Orthodontics, Sarasota, FL

Schedule Coordinator (1/2020 – 8/2020)

Maintained essential documentation for multiple locations

Submitted insurance authorizations and obtained EOBs

Managed patient information in EHR

Processed payments and handled delinquent accounts

Medix Staffing Solutions, Sarasota, FL

Prior Authorization Specialist – REMOTE (11/2019 – 12/2019)

Performed insurance pre-authorizations and eligibility verifications

Analyzed denials and submitted appeals

Managed patient information and supporting documentation

Utilized multiple EHR systems and remote access software

Medix Staffing Solutions, Sarasota, FL

Personal Relations Rep II (7/2019 – 10/2019)

Managed appointments and verified insurance

Processed patient documentation and referrals

Collected payments and managed patient accounts

Scheduled new patient procedures

MaxHealth Primary & Urgent Care, Sarasota, FL

Medical Receptionist – FLOAT (4/2019 – 7/2019)

Maintained office procedures for multiple locations

Managed patient check-in/out and documentation

Scheduled appointments and handled patient inquiries

Coordinated with supervisors for location coverage

Center for Ear, Nose & Throat – Dr. Ellen D. Silkes, Sarasota, FL

Medical Receptionist / Assistant (11/2015 – 3/2019)

Managed office operations and patient scheduling

Assisted with patient care and exam room preparation

Processed insurance authorizations and medical records

Coordinated follow-up care and specialized cases

Maintained patient records and office supplies

Facilitated communication with healthcare providers

Education:

Excel High School, Diploma (11/2023)

Bryan University:

Certified Clinical Medical Assistant Program (Expected 5/2024 - 3/2025)

Associate of Arts in Allied Health Management (Expected 3/2025 - 12/2025)

Certifications:

Basic Life Support (BLS) Certification (6/2024)

CPR/AED Certification (6/2024)

References:

Will provide upon request

Contact this candidate