Prior Authorization Specialist
Resume:
Genevieve Muti
*.******@*****.***
PROFESSIONAL SUMMARY: Highly organized and detailed-oriented professional, seeking a position in healthcare where I can utilize my exceptional customer service skills, knowledge of insurance verification, prior authorizations and time management skills.
WORK HISTORY:
3/2025- 10/2025 Mercy Hospital St. Louis Remote
● Maintaining an up to date work queue
● Handle multiple insurance payor groups
● Knowledge of different insurance portals
● Handle multiple and a variety of ICD-10 and Radiology CPT Code
● Requesting and obtaining prior authorization via phone, fax and insurance portals
● Following up on pending and denied authorizations
● Sending in-basket messages in EPIC to providers and using smart phrases
● Sending E-Fax through Microsoft Outlook
● Maintaining my productivity daily goals
● E-Verification coverages
2015 - 2025 IGEA Brain and Spine Center - In Office / Remote Prior Authorization Specialist
● Data Entry along with heavy incoming phone calls / scheduling appointment
● Maintain HIPAA, compliance, privacy and confidentiality
● Verifying patient eligibility and obtaining benefits for radiology procedures
● Requesting and obtaining prior authorization via phone, fax and insurance portals
● Following up on pending and denied authorizations and requests for additional records on a daily basis
● Knowledge and experience in communicating with MVA and Workers Comp/PIP nurse case managers and adjusters
● Contacting patients to inform them of the authorization process and status
● Documenting benefits and prior authorization details in patients record according to department guidelines
● Collaborate with the scheduling department to assist with same/next day added on appointment, to check authorization requirements
● Accurately entering and updating patient demographic and insurance information in patient accounts
● Verifying patient (Real Time) eligibility prior to each appointment ensuring patient is active prior to date of service.
● Maintaining a sanitized and clean environment
● Interacted with 4 Neurosurgeons, 1 Neurologist, 1 Orthopedic & Sports Medicine Physician, 1 Pain Management, 1 Neuropsychologist and 7 Physician Assistants 2010 - 2015 North Jersey Brain and Spine Center Oradell, NJ Medical Receptionist / Prior Authorization Specialist / Team Leader
● Oversea front desk
● Check in / Check out / Collecting co-payments
● Confirm patients’ appointments
● Data Entry along with heavy incoming phone calls and relating STAT messages
● Scheduling appointments
● Maintain HIPAA confidentiality
Genevieve Muti
*.******@*****.***
● Obtain all prior authorization for all radiology procedures, WC/MVA and Commercial Insurance
● Knowledge and experience in communicating with and assisting Workers Comp/PIP nurse case managers and adjusters
● Prepare appeal letters / medical records
● Scheduling rep lunches
● Interacted with 12 Neurosurgeons, 5 Physician Assistants, 7 Residents 2009 - 2010 Dr. Rubin, Friedrich, Panella & Sapienza, LLC Englewood, NJ Receptionist/Front Desk
● Greet patients / Data Entry / Referrals
● Collect copayment
● Verify insurance benefits
● Pull daily charts / Create and file charts
● Interact with patients daily
● Answer Incoming calls / Schedule appointments / Confirm appointments
● Document benefits and maintain health information records
● Interact with numerous doctors and hospitals
2008 - 2009 Select Wellness Westwood, NJ
Chiropractic / Office Manager
● Data Entry / Verified patients Insurance
● Billing / Responsible for weekly deposits
● Followed up with unpaid or denied claims
● Interacted with patients daily / Scheduling patient appointment
● Prepare letters of medical necessity
● Answered Incoming and Outgoing phone calls
● Document benefits and maintain health information records
● Scheduled Meetings / Interacted with numerous doctors and attorneys
● Marketer
EDUCATION:
2002 - 2006 Bergen Community College Paramus, NJ
1998 - 2002 Bogota High School Bogota, NJ
SKILLS:
● People Friendly
● Always smiling
● Customer service skills
● Problem solving & Multitasking
● Organizational & Time management
● Energetic and work well with co workers
● Excellent phone skills
● Proficient in Microsoft office suites- Excel, Outlook, Teams and Excel Genevieve Muti
*.******@*****.***
● Proficient in Apple platforms- MAC, iPad, iPhone-iOS
● Professional when conversing with patients, doctors, insurance representatives, etc
● E-Clinical Works, EPIC, Greenway, Alteer EMR
● Critical thinking
● Verbal and written communication skills
● Medical terminology
● Knowledge of ICD-9 & 10 /CPT Codes
● Well familiar with many different insurance payors portals REFERENCES: Given Upon Request
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