Prior Authorization Medical Assistant
Resume:
Heidi Fifer
Healthcare professional
Lyman, SC **365
**********@*******.***
I have worked as a district pharmacy trainer with 26 stores I was responsible for, I have also worked as an Eye assistant and medical assistant scheduling appointments, patient pre-screening and vitals. I have been a hospital pharmacy lead tech making schedules, inventory, IV medications, dealing with DEA forms and recalls. I have worked as a prior Auth Rep for Medicare Part B. This requires strong computer skills and communication skills written and verbal. A knowledge of codes and medications. I have worked as a prior authorization specialist for an orthopedic office. I am currently a biological coordinator/prior authorization specialist for a pulmonary office. They had never had this position at this office before. I took on this challenge and built this position from ground up. Improving the flow and efficiency of getting patients their specialty medications quickly and helping with ways to pay for them.
Authorized to work in the US for any employer
Work Experience
Biologics coordinator
UPSTATE LUNG AND CRITICAL CARE - Spartanburg, SC
September 2022 to Present
Work with coordinating to get patient on specialized medication. I work with the doctors, patient, insurance and drug companies to help the patient to obtain their prescription. Medicare part B prior authorization tech
Aetna Health Care / Coventry Health Care - Remote
November 2020 to Present
Working on Prior authorization for Medicare part B drugs. Working with doctors and patient to get procedures and injections authorization on time. Working in several computer systems and ensuring Proper coding was used.
Pharmacy Technician
Regency Hospital of Greenville - Greenville, SC
Present
Refill med-dispense prepare Iv meds inventory and ordering Prior Authorization Specialist
Godshall Recruiting - Spartanburg, SC
July 2021 to December 2021
I worked here short term I was scheduled for a major surgery and was going to be out for several months. I worked on getting all procedures authorization through several insurance companies. I also handled injections and worker’s compensation claims.
Medical Assistant
Hopewell medical - Greenville, SC
April 2021 to July 2021
I worked with the doctor as a medical assistant and front office staff. Taking vitals and drawing blood and updating medical record. I also verified insurance coverage and scheduled appointments. Unfortunately the office was over staffed for the amount of patients we were seeing at the time. Education
GED
Trine University - Angola, IN
Skills
• Compounding Medications
• Pharmacy Technician Experience
• Medical Office Experience
• Insurance Verification
• Hospital Experience
• Medical Terminology
• Medical Billing
• ICD-10
• Clinical Pharmacy Experience
• Anatomy Knowledge
• Patient Care
• Physiology Knowledge
• Epic
• CPT Coding
• Computer Skills
• EMR Systems
• Medical Scheduling
• Experience Administering Injections
• Medical Records
• Medical receptionist
Certifications and Licenses
Pharmacy Technician
June 2016 to June 2019
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