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Medical Assistant Prior Authorization

Location:
Hialeah, FL
Posted:
August 22, 2024

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Resume:

JESSICA MARTINEZ

**** ******* ** *******, ** ****6 917-***-**** *******.************@*****.***

Work Experience

Substitute Teacher

ESS Education January 2022 to Present

• Deliver outstanding lessons across the entire curriculum to diverse cohorts from Kindergarten to Grade 12 with an average classroom count of 28.

• Follow the curriculum or lesson plan provided by the principal or absentee teacher

• Use classroom management and teaching techniques to encourage participation and facilitate learning

• Take attendance according to school policies

• Provide instruction, and assign classwork and homework

• Report incidents regarding student behavior in and out of the classroom

• Keep a record of student progress and communicate information and issues to the regular teacher • Grade assignments and provide constructive feedback to students

Practice Coordinator / Assistant manager

Columbia Doctors Riverdale OB November 2020 to December 2021

• Prepare and distribute monthly CMA staff calendar with assigned providers • Manage and record inventory and order supplies as needed

• Prior Authorization for Outpatient & Inpatient procedures

• Prior Authorization for Labor & delivery

• Update Doctors On call schedule

• Order and Maintain supplies for the site.

• Addresses patient concerns and implements Departmental goals to meet and exceed target patient satisfaction scores.

• Responsible for the day-day operation of the site related to patient care, quality assurance, policy and procedure, compliance, human resources, marketing outreach, referring physicians concerns, revenue cycle and operations.

• In the absence of the Practice Plan Director, directs the activities of the staff with authority to discipline and make decisions

Certified Medical Assistant / front desk coordinator

Columbia Doctors Riverdale OB June 2016 to November 2020

• Prepare patients, equipment, and supplies for office procedures and provide manual assistance as necessary

• Interview patients, measure vital signs and perform venipunctures

• Enter patient information to maintain accurate record keeping

• Ensure treatment rooms are prepared for the day's service by stocking and cleaning exam room in conjunction with safety standards policy

• Promote efficient patient flow by assisting patient into exam room in preparation for visit

• Provide technical support to other offices, fill-in shifts as needed, and cross cover front desk

• Maintain open lines of communication between patients, physician, staff and laboratory personnel

• Demonstrated ability to work in a busy, multi-specialty environment

• Schedule appointments, accept co-pays, complete insurance verifications, and perform secretarial duties

• Care of patients ranging from infants to advanced adults

• Prepare correspondence for providers and staff, fax and answer telephone

Medical Assistant

New York, NY September 2013 to April 2016

• Administered care of 60+ patients daily

• Updated medical history, vital signs, perform venipunctures, EKG and urinalysis

• Obtained labs, x-ray reports, and hospital notes

• Performed general office duties including but not limited to answering and transferring calls, data entry, filing, billing, and other clerical tasks

• Reviewed patient records prior to appointment to ease workflow

• Pre-visit planning and meaningful use documentation

• Maintained cleanliness and sanitized exam rooms and equipment.

• Prepared medication refill authorizations on behalf of the physician

Medical Assistant / receptionist

Washington Heights Medical Plaza - New York, NY January 2011 to October 2012

• Assisted 15-25 patients daily with pre and post examination protocol: measured vital signs; prepared for phlebotomy, urinalysis, EKGs, and Doppler tests; scheduled follow-up appointments

• Verified insurance

• Updated medical records, populated patient history and chief complaint

• Assisted with patients' examinations and the distribution/explanation of medications • Maintained 300+ chart filing system

Education

Master of Education in Secondary Education

Grand Canyon University November 2022 to Present

Bachelor of Social and Behavioral Science in Psychology

Mercy College - Dobbs Ferry, NYMay 2017

Skills

• Phlebotomy

• Practice Management

• Infant Care

• EMR systems

• Database administration • Medical terminology

• Training & development • Documentation review • Healthcare Management • Insurance Verification

• Medical Records

• Patient Care

• Management

• Medical office experience • Leadership

• Intake

• Customer service • HIPAA

• Spanish

• Bilingual

• Care plans

Certifications and Licenses

Sub Teacher Certification

CPR Certification

Certified Medical Assistant



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