Products Co Authorization Specialist
Resume:
QUALIFICATIONS
Proven leader with the ability to function both independently and as a “team member”.
Visionary and goal oriented; inspires trust, cooperation and teamwork.
Performs well under pressure.
Creative and innovative professional, prepared to adapt a variety of talents to excel at new challenges.
Excellent verbal and written communicator, outstanding listener and a valued contributor.
Quick to analyze, investigate and solve problems, through the use of logical and clear thinking.
Skilled with people, enthusiastic, sense of humor, motivational and tactfully direct.
Education- Strayer University – Honor Classes and Dean’s List
Atlanta, Georgia 2018 - Present
Bachelor of Business Administration and Concentration in Health Services Administration
CPAR Certification December 2020
CRCR Certification April 2021
Materials Management Specialist – Integrated Surgical Solutions
Alpharetta, Georgia July 14, 2021
Benefit/Authorization Specialist for the Burn, Wound and Hyperbaric Center – Wellstar Cobb Hospital
Austell, Georgia 30106 November 17, 2020
Patient Access Specialist II – Wellstar Cobb Hospital
Austell, Georgia 30106 September 21, 2020
Insurance Specialist/Scheduler – Fresenius Medical Center
Kennesaw, Georgia April 2012– October 2019
Creating and Researching surgical parts
Updating the system with correct HCPCS
Reviewing PO’s sent by Case Managers
Creating new Manufactures for parts.
Review patient information financial given by Financial Coordinator.
Contact various insurance companies, checking for authorization or referrals that is needed.
Communicate with social workers, nurses, and provider regarding patients’ treatment.
Verify patients’ coordination of benefits. Verify patient’s insurance/Medicare, Medicaid
Provide letter of agreements to hospitals for patients with Medicare and Medicaid replacement plans.
Maintain and scan patient documents once demographics are verified into Document Imaging.
Scheduled patients for In-Patient procedure/Power Point and SharePoint
Gather information to determine eligibility for treatment.
Create and run reports on a monthly basis.
Trained all new staff on central verification.
High volume multi- tasking environment.
Comply with HIPAA policy.
Shipping & Receiving Clerk – Firestone Building Products Co.,
Kingstree, South Carolina March 1998 – November 2011
Provide excellent service to all customers.
Leadership training.
Ability to communicate required operational methods.
Knowledge of effective manufacturing practices.
Trained in hazmat procedures.
Operated various machinery i.e. sheet cutter, and forklifts.
Healthy Start Coordinator– Williamsburg Transit Authority
Kingstree, South Carolina October 1994- February 1998
Event budgeting and coordination.
Provided exceptional customer service.
Scheduling, organizing and maintaining office duties.
Maintained and updates calendar of events.
Managed route changes.
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