Full Stack Prior Authorization

HOLLIE SUNDRA

256-***-**** adzly4@r.postjobfree.com Queen Creek, AZ Linkedin.com/in/hollie-sundra-566437222

PROFESSIONAL PROFILE

Resourceful, tech-savvy professional with emerging full-stack developer experience, able to implement responsive and user-friendly front-end designs using HTML, CSS, and JavaScript. Highly motivated to deliver timely projects within an agile-driven management framework, keeping abreast of the latest trends and technologies in web development. Most impactful at optimizing application performance, troubleshooting, and debugging issues, and ensuring smooth functionality across all layers of the application stack.

Languages: JavaScript, CSS, Express JS, Node JS, HTML – Web Tools: AngularJS, jQuery, Bootstrap, React

Databases: Oracle, SQL, MongoDB, GraphOL – Applications: MS Office Suite, Google Suite

Full Stack Web Development

Wireframing & Layout Design

E-commerce Development

Medical Billing & Coding

Scripting & Programming

Security Implementation

Agile Development

Database Design

Front-End Frameworks

SUMMARY OF QUALIFICATIONS

8+-year track record of utilizing various technologies that increase workflow efficiency, including applying codes and queries.

Graduated top of the class from the University of Arizona Full-Stack Development Boot Camp in 2023.

Educational value in web development principles (HTML, CSS, JavaScript) as well as relational databases (SQL, jQuery, Oracle).

Ability to contribute to front- and back-end development, playing a key role in creating exceptional user experiences.

Actively studying machine learning and programming in Python from Udemy, as well as a cybersecurity course from (ISC) 2.

PROFESSIONAL EXPERIENCE

Proprietary Projects Queen Creek, AZ April 2023 – Present

Full Stack Web Developer

Develop full-stack web solutions for small businesses, delivering timely results across multiple functions that meet expectations.

Lead contractual web development projects, leveraging coding skills using HTML, CSS, JavaScript, and jQuery languages.

Identify coding requirements for site creation, e-commerce, security, and specialized scripts.

Build customized layouts and wireframes based on parameters and technical requirements.

Myndshft Mesa, AZ November 2021 – Present

Prior Authorization Specialist/Medical Coder

Achieve project deliverables in an agile-driven environment, contributing to process improvements, efficiency, and innovation.

Translate metrics to support project objectives and drive decision-making using internal and external data sources.

Apply ICD-10, CPT, and HCPCS codes as well as modifiers to claims to ensure reimbursement was accurate.

Stabilize workflow efficiency by incorporating the UiPath automation tool for task capturing, resulting in increased productivity.

Interpret and analyze written, numerical, and verbal data from multiple sources, aiming to improve how information is applied.

Support end-users by troubleshooting issues and finding the root cause of reported bugs, applying corrective actions as needed.

Train 3 team members and the outsource call center staff on getting authorizations from insurance companies and regulations.

Elite Pain and Spine Institute Mesa, AZ February 2021 – October 2021

Authorization Specialist/Medical Coder

Authorized numerous pain management procedures, including verifying insurance and calculating procedures.

Streamlined the billing process, setting up queues for coding or billing corrections, and applying ICD-10, CPT, and HCPCS updates.

Educated doctors and staff in the nuances of procedure codes and insurance guidelines, updating databases to facilitate changes.

Sonoran Spine Tempe, AZ May 2020 – February 2021

Prior Authorization Specialist/Medical Coder

Managed daily tasks, including answering calls, giving patients information, scheduling, and prepping surgical procedures.

Coordinated with reps on scheduling to obtain authorizations for various pain management procedures.

Applied various coding languages to submit authorizations, including HCPC and ICD-Q0 codes for complex approvals.

Contacted physician’s offices to validate prescriptions, obtain clinical documentation, and initiate prior authorizations.

Identified gaps and discrepancies from reviewing documentation, then made effective decisions and corrected mistakes.

Valley Pain Consultants Mesa, AZ November 2019 – March 2020

Authorization Specialist

Utilized verification systems to verify benefits, identify maximums, and coordinate benefits with the patient and insurance carrier.

Contacted payer to obtain prior authorization; gathered additional clinical and coding information to obtain prior authorization.

Exhibited expertise in registration, verification, pre-certification, scheduling, and payer processes of clinical documentation.

Cardiovascular Associates of Mesa Mesa, AZ February 2018 – November 2019

Authorization, Eligibility, and Referrals Specialist

Improved the quality of testing components performed at the facility by obtaining timely and accurate authorizations.

Evaluated eligibility for established and new patients, appealed denials, and redirected referrals from primary care.

Documented clinical information given or received to support actions taken on insurance charges or referral issues.

Educated patients and families on insurance issues, professionally communicating patients’ fiscal responsibility.

ADDITIONAL EXPERIENCE

Front Office/CA Ahhh Wellness, Mesa, AZ February 2017 – February 2018

Front Office/LMT/CA Secrest Family Chiropractic, Scottsdale, AZ November 2015 – November 2016

EDUCATION

Certification of Completion, Full-Stack Development University of Arizona, Tucson, AZ 2023

Certificate of Completion, Medical Billing and Coding Arizona Western College, Yuma, AZ 2021

Associate of Applied Science, General Studies, Massage Therapy Virginia College at Huntsville, Huntsville, AL 2010

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