Work Home, customer service, medical, and administrative duties
Resume:
Jessica Wright
***********@*******.***
Dublin, OH 43016
(Temp) Insurance Authorization/ Verification Specialist Feb 2017- September 2019
Roberthalf Temporary Agency
Responsible for filing requests for prior authorization for all insurances that require based upon plan or insurance contract.
●Inbound and outbound calls from patients for Authorization follow up
●Verify insurance is current through vendors with various methods.
●Requested, obtained, and documented all prior authorizations approvals or denials, appropriately and in a timely manner using EPIC and Advisory Board.
●Verified patient insurance coverage, benefits, and eligibility.
●Maintained and updated internal listings of insurance carriers that require authorization, and current method to obtain authorization.
●Verified all procedures by insurances requiring authorization CPT codes.
●Assisted various departments with obtaining retro authorizations.
●Co-labored and updated with scheduling, MD offices, and insurance offices, and patients on prior authorization activity.
●Helped to implement new procedures and processes for onboarding new hires
●Understood and worked in accordance with HIPAA regulations and clinic requirements.
Certified Medical Assistant April 2015- September 2016
OHIOHEALTH WorkHealth
●BWC and WorkHealth Patient intake
●Vitals and health screenings
●Updated/document any changes or important information in BWC claims
●Electronic faxed and Scanned and transcribed medical information into medical record
●Ran firefighter, police, legal system, factory worker, DOT and ect. comprehensive physicals
●Restock and cleaned Exam rooms
●Scheduled outside procedures and referrals
●Assisted with minor in-house procedures
●Administered vaccines and injections
●Drew blood and completed lab reqs for specimens
●Faxed and scanned labs/records into patient's charts
●Ran Drug screenings, Audiograms, fit test, EKGs, lift test, and more
Certified Medical Assistant October 2013- April 2015
MaternOhio Kingsdale Gynecological Associates
Patient intake, and vital signs
Restock and clean exam rooms
Run Autoclave throughout the day/ Weekly Autoclave cleanse and testing
Administer injections and phlebotomy.
Patient education on medications, Before and after procedures, and at home care
Order, packaged/ prepped (Centrifuged)lab specimens to be sent to outside lab testing
obtain Prior-Authorizations for procedures and medications, Assist with medication refills and request
Handle small spectrum of in-house testing for OB and GYN patients
Assist with requested duties assigned from physician: In-house procedures, setup, assist, and clean up, running labs or properly packing specimens for testing
EHR System: NextGen MP, EHR, and ICS
Ordering and Stocking Medical office inventory
Faxed, scanned medical records and referrals,
Mailed correspondences w/ testing, referral, or appointment information
Phone Triage, Incoming, outgoing, and transferring phone calls, scheduling
Setup Ultrasound machine for GYN and OB exams
Office Assistant Temp/ warehouse worker Oct 2011-September 2013
Act 1 staffing (Rogue Fitness Warehouse)
Tracking/ inventory (spreadsheet/excel)
Processed orders, receipt documents, and label shipping.
Assisted with fax and email correspondences.
Answered phones
Alerted any fraudulent activity
When on the Floor working
Scanned and picked orders off of selves
Packaged items to be shipped
Computer Skills
●Microsoft Word, Excel, PowerPoint, EHR, EMP, and Outlook (52 wpm) First, RF scanning equipment, etc.
Education
●Nashville School of the Arts- High School 2010'
●Bradford School- Medical Assistant 2013'
●Ohio Licensed Insurance Agent
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