Medical Coding Prior Authorization

MEHREEN SHEIKH

862-***-**** ************@*****.***

Analytical, organized and detail- oriented medical health professional with prior authorization and medical coding/ billing experience and expertise. Collaborative team player with ownership mentality and a track record of delivering high quality solutions to patient and customer needs to resolve challenges.

Able to work for any employer in the United States.

EDUCATION:

County College of Morris: Associate of Science degree Biology (AS)

Fortis Institute 2012: American Association of Medical Assistants (CMA) certification ID # 2505143

Relevant course work: Anatomy and Physiology 1&2 Microbiology, Chemistry 1&2, Organic Chemistry Medical Coding and Billing, Medical terminology

GPA: 3.8

EXPERIENCE:

Metabolic Medicine at Morristown AMG (CMA) January 2023- April 2024) Morristown, NJ

•Initiate prior authorizations and to completion for various insurance companies for oral weight loss medications and GLP- 1’s in a timely manner. Provide most recent clinical data and subsequent medical data by thorough chart review.

•Understanding Medicare, Medicaid and commercial insurance coverage and benefits. Up to date with policy changes, to ensure patients receive appropriate benefits for ongoing healthcare.

•Measure and document vital signs in medical software EPIC. Que up appropriate test results for physician review.

•Consistently answer and triage patient requests via patient communication portal (MyChart).

•Refill medication requests sent in by pharmacies and patients. Follow up with appropriate correspondence with the physicians and patients as needed for medication refills. Proficient in navigating use of EPIC and various insurance portals.

SUMMIT MEDICAL GROUP PRIMARY CARE(CMA) (January 2022- December 2022) Morristown, NJ

•Answer phone calls and schedule appointments.

•Interview patients to obtain basic health history, measure, and document vital signs.

•Update and file medical records.

•Provide feedback to patients directly via portal messaging, triage messages to the appropriate personnel as needed.

•Administer intramuscular injections/vaccines.

•Perform vision and hearing tests and EKG’s.

•Produce and distribute correspondence memos, letters, faxes, and forms.

•Prepare and clean treatment rooms and medical instruments.

COBBS CORNER PRIMARY CARE (CMA) (October 2013 –December 2021) Parsippany, NJ

Facilitate transfers and referrals to various healthcare providers.

Execute medical assistant duties including venipuncture, EKGs, injections, vital sign monitoring, and documentation.

Conduct CLIA waived testing when necessary.

Input data into Electronic Medical Records Systems such as Athena, Aprima, and Epic.

Ensure comprehensive filing of reports and information in patients' records before appointments.

Obtain weekly prior authorizations from insurance companies and provide patient instructions for supplies.

Maintain stocked exam rooms, sterilize instruments, and reorder supplies as needed.

Efficiently manage telephone messages from patients and front office, offering feedback and answers.

Accurately record patient payments and fulfill requests for medical record copies.

Lead new-hire training and implement clinic best practices.

Recognized for consistent punctuality and reliability.

ZARA INDITEX Lead Cashier August 2019 -January 2022 Wayne, NJ

•Assist up to 50 customers daily in selecting items and resolving any inquiries while generating positive revenue growth.

•Efficiently and accurately stocked all inventory quickly to create optimal workflow.

•Achieve maximum monthly sales goals every month.

•Responsible for executing opening and closing procedures daily.

•Handle cash and daily deposits, balance cash drawers daily making sure that all cash is accounted for.

•Help maintain excellent client relationships to drive sales and store ratings.

•Assist in the completion of cycle stock counts, stock checks and external counts and ensure all stock movements were replaced, rotated, and recorded.

SKILLS

•BLS/CPR certified

•Fluent in English, Urdu

• Exceptional communication skills

• Proficient in Microsoft Office: Word (65 wpm), Excel, PowerPoint

REFERENCES AVAILABLE UPON REQUEST

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