Leah Ayers

Phoenix, AZ, *****, 480-***-****

adcixg@r.postjobfree.com

RELEVANT PROFESSIONAL EXPERIENCE

Medical Contractor, Temp Agencies October to December 2019

CVS Health / Caremark, Scottsdale, AZ February to March 2020

Prior Authorization Intake Agent. CRU /Claims Review Unit, Specialty Prior Authorization Department. Accepted incoming calls related to prior authorization requests for specialty medications, submitted via phone, online and fax from Medical practitioners, Doctor Offices, Pharmacies, Members, Nurses. Verifying the matching ICD-10 codes. Preauthorization and confirm pending approval /or denial of prescriptions. Partnered with other departments to ensure timely resolution for requests/inquiries, including: Pharmacy, Customer Care, Claims Processing, Medical Doctor offices, Commercial PA Dept.. Programs used: Excel for Drug Spreadsheets, CAS, PeopleSafe, HBS. Approval and Denial of PA. Contract position.

CENTENE, Tempe, AZ November 2019 to December 2019

Quality Improvement Specialist. Temp position through Apex. HEDIS audit preparation and training, entered measures and documents into HUI. Called provider offices for verification. Contract position.

CIGNA, Phoenix, AZ October 2019 to November 2019

Data Entry Representative. Assisted with the Eligibility and Verification team during the Medicare enrollment season. Data entry, verifying demographic details for updates or changes, preparing member documents for scanning, filing and storage. Contract position.

Administrative Office Contractor, Temp Agencies November 2018 to September 2019

Progressive Roofing, Phoenix, AZ April 2019 to September 2019

Human Resources Office Assistant. Filing, labeling, creating new files and organizing archive files. Assisting with in-house file audit preparation. Assisting with the process for new hire employee verification, terminated employees and rehired employees. Updating electronic employee records and handling sensitive data such as demographics and I-9 Eligibility Forms. Software experience with Excel, KRONOS, Guardian, Outlook, Microsoft Word. Contract position through Ajilon.

WESCO Distribution, Phoenix, AZ February 2019 to April 2019

Office Assistant. Working with excel spreadsheets, filing, printing and compiling purchase sales tax receipts for verification, assisted with an internal audit. Contract position with Ajilon.

McKesson, Tempe, AZ November 2018 to January 2019

Insurance Verification Agent. Verifying patient pharmacy benefits for a specialty medication. Made outbound calls to private and commercial insurance, Medicaid and Medicare to initiate prior authorizations as needed for specialty medication. Verify insurance changes from previous year. Contract position through RemX.

Medical Records Coordinator October 2007 – July 2010

Arizona Orthopedic Surgical Hospital, Chandler, AZ March 2010 to July 2010

Medical Records Coordinator. Medical record analysis, inpatient & outpatient auditing for completion & physician Signature, Release of Information, Verify Daily Dictation for Surgical Operative Reports, File & Pull Charts. Contract position.

Healthport, Mesa, AZ February 2008 to March 2010

Release of Information Specialist, Health Information Management Dept. at Banner Desert Medical Center, Banner Good Samaritan and Banner Baywood processing medical Release of Information (ROI) requests to patients and third-party requesters in accordance with HIPAA, federal, and state guidelines. Reviewed, retrieved and prepared medical record documentation in response to request. (Temporary leave of absence to pursue travel coding position from February 2008 to September 2008).

Outcomes Health Information Solutions, Phoenix, AZ February to May 2009

Medical Records Field Reviewer. Locally Traveled to Medical Offices in Phoenix, gathered specific data for various HEDIS Measures, review, abstract, scan and electronically upload medical documents, follow HIPPPA and outcomes strict security policy. Contract position.

Risk Adjustment Management, LLC, Miami, FL September 2008 to February 2009

Travel Medical Record Coder. Traveled to medical offices and hospitals in Arizona and California performing HCC chart reviews for Wellpoint BCBS. Provided feedback and training to providers and office staff pertaining to medical coding and documentation. Contract position.

The Coding Source, LLC October 2007 to December 2007

Travel Medical Records Technician. Retrieved Medical Record Information from Provider (Physician Offices, statewide in Arizona) located throughout Arizona. Pulled, break down, copied/scanned, indexed, assembled and uploaded patient records into a TCS web-based application, Re-assemble patient charts and record/report to TCS on the office visit. Contract position.

EDUCATION

CPC-A, Coding Re-Certification Course, AAPC/Medical Coding Instruction LLC, Phoenix, AZ 2018-2019

Medical Transcription Course, CareerStep Certification, Online 2017-2018

Massage Therapy Program & License, SouthWest of Healing Arts Institution, Tempe, AZ 2013-2014

CPC Medical Coding Certification, AAPC/The Coding Source course, Phoenix, AZ 2009-2012

A.A. Degree, Health Information Technology, Northern VA Community College, Annandale, VA 2000

A.A.,Degree, General Studies, Northern Virginia Community College, Annandale, VA 1997

COMPUTER EXPERIENCE

Microsoft Office (Word, Excel 1 and 2, Power Point, Outlook), Google Sheets, Electronic Medical Record Software experience includes: Cerner Millennium, IPROB, AS400, Softmed/ Chart locator, Esmartlog, Smartlink, Orthopod, eClincialworks, E-MDs, Encounter Pro, IC, MISYS, Intergy, Practice Partner Medical Manager, Centricity, Vista, Guardian, and KRONOS, CAS, PeopleSafe, HBS

VOLUNTEER EXPERIENCE

Hunkapi Horse Therapy, Horse Rider Guide and Walker in Scottsdale, AZ 2018-Current

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