Program Coordinator Prior Authorization
Resume:
Ashley N. DeCapio
Follansbee, WV 26037
{740} 317-8749
*********@*****.***
To Whom It May Concern:
Please find enclosed my resume for your review. I am seeking a full-time position within your organization that allows me to utilize my skill set and have opportunities for future advancements.
In any career it is important to work well independently, as well as working together as part of a team, while still possessing the ability to lead or follow as the need arises. Additionally, responsibility, empathy, and attention to detail are vital to have productive outcomes within any organization.
I enjoy doing research and analyzing information. I like to ensure that my work is done to the best of my ability and ensure the clients satisfaction. With that being said, I believe that this position will allow me to utilize more of my skill set, while also making me a stronger asset within the company, which will allow me the opportunity to prosper in my career. I am hoping that you allow me a personal interview to further discuss.
Thank you for your time and consideration with this matter. I am looking forward to hearing from you soon.
Sincerely,
Ashley DeCapio
Ashley N. DeCapio
{740} 317-8749
*********@*****.***
Skills:
*Medical Terminology
*Prior Authorization Process
* Strong Customer Service Skills
*Great/Strong Client Interaction
* Strong organizational skills
* Detail Oriented
* Understand coordination of benefits, eligibility of benefits, as well as claims
*Adhering to policies, procedures, and quality assurance
* Reviewing the status of claims and payments
*Strong computer skills and typing efficiency
*Familiar with ICD and CPT codes
* De-escalation of calls
* Scheduling of appointments and testing, after obtaining proper authorizations needed
* Strong call handling and quality with provider and clients
* Familiar with HIPPA requirements
* Complaints and Grievance/Appeal process
Education:
2006-2009
West Virginia Northern Community College
--Associates in Applied Science Respiratory Care
--Certificate of Proficiency Health Care
2003-2006
John D. Rockefeller IV Career Center
-Nursing Assistant Training
2002-2006
Oak Glen High School
--College Prep
Ashley N. DeCapio
{740} 317-8749
*********@*****.***
Work Experience:
June 2020-May 2021
Centene-PA Health & Wellness
--LTSS Program Coordinator I
*Resolutions department
-Special Projects (162 Forms, After hours Voicemail)
-Transportation SME
January 2020-June 2020
A-Line Staffing Solutions
--LTSS Program Coordinator I
*Resolutions department
November 2017-June 2019
Lifeline Sleep Center --Polysomnography Technician
May 2014-July 2017 Greater Tri-State Sleep Center --Polysomnography Technician
September 2012-May 2014 UPMC Sleep Medicine Center --Sleep Technologist II
March 2009-September 2012 Advacare Home Services --Polysomnography Technician
August 2010-June 2011 Life Line Hospital --Polysomnography Technician
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