Authorization Representative/ Medical Assistant
Resume:
Sandy Hudson
Knoxville, Tennessee 37922
*******@*****.***
I have been a Certified Clinical Medical Assistant for over 30 years. Due to the Pandemic I took some time off and now I am ready to work again! I am only interested in Remote Full time positions - please do not contact me otherwise!
Experience:
Stayed @ home to take care of family during pandemic
October 2020 to Present
Branch Coordinator/customer service
Apria Healthcare - Knoxville, TN
August 2021 to October 2021
Responsible for answering phone calls,
Complete orders for patients need to purchase Healthcare supplies.
Risk Assessment
Blue Cross / Blue Shield
August 2020 to October 2020
TEMP POSITION
Responsible for acquiring medical records from provider offices for purpose of risk adjustment coding and data submission to the Centers for Medicare & Medicaid Services (CMS). Travel to provider offices and assist in the acquisition of medical records. Load medical records into the coding system and link records to appropriate chart IDs. Download medical records from Electronic Medical Record (EMR) systems remotely and in person. Schedule appointments and assist with the medical record quality assurance process, as necessary, perform or participate in special projects as directed by management.
HEDIS Abstractor
Anthem - Knoxville, TN
February 2017 to April 2020
Enters abstracted data; pertinent diagnosis, prognosis, and treatment data from medical charts, into a database handworks with physicians and staff to find information or pull specific charts. Track routine statistics, analyze variables in patients and review data for completeness. Collect follow updata and correspond with physicians about incomplete charts or data. Generate detailed summaries of a patient's treatment and prognosis and organize and maintain databases.
Prior Authorization Representative
Tennessee Orthopaedic Clinics
May 2019 to November 2019
Identify when prior authorization is needed, facilitate submission, and automatically retrieve payer authorization response. Responsible for making sure all knee injections have been precepted before their scheduled appointment date.
Assistant Clinical Manager/ CCMA
The Allergy, Asthma and Sinus Center
August 1990 to June 2015
Played an integral part in arranging schedules for more than 200 nurses in over 35 separate offices. Conducted performance evaluations and provided feedback for Employees, interviewed potential new hires, and performed background checks.
Education:
Draughons Jr. College - Knoxville, TN
Medical Assistant
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