Certified Nursing Assistant & Prior Authorization Specialist

Summary

Efficient Certified Nursing Assistant and Prior Authorization Specialist with 10+ years in cardiac and vascular care. Skilled in insurance verification, prior authorizations for complex cardiac procedures, and EMR documentation. Demonstrated leadership in patient scheduling, lab coordination, and multidisciplinary collaboration, consistently enhancing patient outcomes and operational efficiency in high-volume hospital and clinic settings. Willing to relocate to: United States - Richmond, VA - Glen Allen, VA Authorized to work in the US for any employer

Work experience

Prior Authorization Specialist

Medtronic, Inc. • Minneapolis, MN

April 2026 to Present

• Verify patient insurance by performing benefit and eligibility checks

• Call and submit prior authorization to patient insurance company for targeted drug delivery therapy (TDD) and/ or spinal cord stimulation (SCS) trial or permanent implant, pain management, pelvis health and ENT. Including SCS removal and/ or lead revision.

• Key in data for prior authorization submission patient member ID, provider NPI, Tax ID, etc

• Obtain referrals prior to submission of authorization if required

• Upload clinicals and send faxes to insurance provider Prior Authorization Specialist/Hospital Scheduler

Richmond Heart and Vascular Associates • Mechanicsville, VA September 2023 to January 2026

• Obtained patient insurance information every 6-12 months, ensuring up-to-date records for accurate billing

• Reviewed CPT and ICD-10 codes from patient charts to initiate authorizations, streamlining approval processes

• Submitted prior authorizations for all cardiac procedures, testing, and surgeries, reducing delays in patient care

• Answered provider portal questions (Carelon, Cohere, UHC, Aetna, etc.) to confirm medical necessity and expedite approvals

• Verified insurance prior to scheduling using Availity provider portal or direct calls, minimizing claim denials

• Created cardiac surgery folders with detailed procedure information to support surgical teams

• Reviewed procedure instructions and medications with patients prior to surgery date, improving patient preparedness

• Scheduled appointments for patients needing updated history and physicals before surgery, ensuring compliance

• Sent surgery orders and office visit encounters to the hospital, facilitating seamless care coordination

• Tracked lab results from LabCorp and sent to the provider, supporting timely clinical decision-making Certified Nursing Assistant

Richmond Heart and Vascular Associates • Mechanicsville, VA August 2022 to January 2026

• Created patient appointments to optimize provider schedules and minimize wait times

• Escorted patients from waiting area to exam room, enhancing patient flow and experience

• Reviewed patient information to update cardiac assessments, ensuring accurate records for provider review

• Performed electrocardiograms and vital signs, supporting accurate diagnosis and treatment

• Called patients with test results, improving communication and patient satisfaction

• Updated patient information including medications, procedures, emergency contacts, and providers for accurate records

• Assisted in setting up procedure rooms for vascular procedures (e.g., Radiofrequency vein ablations, Venaseals), ensuring readiness

Chanavion Munn

+1-804-***-**** / ************@*****.*** / Richmond, VA 23227 Certified Nurse Assistant

Virginia Cardiovascular Specialists • Richmond, VA October 2017 to February 2021

• Assisted nurse manager with scheduling and staffing needs for physicians, improving departmental efficiency

• Preloaded and scanned patient charts into EMR, ensuring accurate and timely documentation

• Accurately documented patient activity and promptly returned patient calls for prescription refills and questions, enhancing patient care

• Performed vital signs, body composition, and EKGs to support clinical assessments

• Entered patient information into the electronic medical record, maintaining up-to-date and compliant records

• Called patients with lab results, facilitating timely follow-up care

• Answered phones, scheduled appointments, and performed front office duties to support daily operations

• Submitted medication prior authorizations through Covermymeds.com, expediting patient access to medications

• Stocked medical supplies and prepared exam rooms, ensuring readiness for patient care Certified Nurse Assistant

Always Best Care Senior Services • Chesterfield, VA July 2017 to September 2018

• Assisted Medicaid and personal care clients with bathing, grooming, dressing, meal preparation, and feeding, promoting independence

• Provided medication reminders, obtained vital signs, and transported clients to doctor appointments, ensuring continuity of care and companionship

Certified Nurse Assistant

CJW Medical Center (Johnston-Willis Hospital) Telemetry PCU • Richmond, VA January 2011 to November 2017

• Obtained vital signs and urinalysis, supporting accurate patient monitoring

• Assessed patients' heart rhythms (tachycardia or bradycardia) through telemetry monitors, aiding in early detection of cardiac issues

• Performed EKGs on ER admissions and provided direct, quality nursing care to meet patients’ comfort, hygiene, and safety needs

• Collected patient information and assisted with insurance documents from healthcare providers, streamlining admissions

• Determined admission source (direct or ER) and facilitated patient transfers to inpatient, ensuring smooth transitions Care Partner

MCV Hospital / VCU Health System • Richmond, VA

October 2016 to March 2017

• Supported telemetry, cardiothoracic, and step-down units for cardiology patients on transitional cardiology unit

• Collected urine specimens, performed phlebotomy labs intravenously, and assisted with vital signs to support patient care

• Performed EKGs after drug loads and assessed tachycardia/bradycardia heart rhythms, contributing to accurate monitoring

• Inserted IVs upon admissions and obtained weights to document and upload patient information in CERNER patient database

Sales Representative

TLK GROUP • Richmond, VA

June 2015 to August 2015

• Assisted Comcast customers with cable issues and sold cable, home security systems, and phone lines to individuals and families

• Accepted payments and scheduled installation dates for cable and phone services, ensuring customer satisfaction Education

Nursing and business

J. Sargeant Reynolds Community College • Richmond, VA August 2009 to June 2015

High school diploma

Mills Godwin • Richmond, VA

September 2007 to June 2009

High school diploma or GED

Upper secondary education

Skills

Home Health (8 years) Hospital revenue cycle management Patient interaction Word processing Sales (Less than 1 year) Interpersonal skills Nurse Management (1 year) Administrative experience CPT coding Patient chart preloading Anatomy knowledge Managed care Medical denial report preparation Dental terminology Health education and counseling spreadsheets Over the road (OTR) driving routes Microsoft Office Customer service Community engagement Order processing Greeting customers Delivery driver experience Provider portal navigation Medical Records (10+ years) Microsoft Word Health insurance claim processing Customer support Hospital Experience (8 years) Health insurance authorizations Medical documentation Care coordination Leadership Phone etiquette Weight handling in the workplace First aid Order entry Hospital experience Microsoft PowerPoint Office experience Medicare Vital signs Managing patient records Case management OR experience Communication skills Client interaction via phone calls Microsoft Excel Data management Administrative Assistant (3 years) Overseeing health insurance pre-certification Insurance prior authorization Customer Service (9 years) Certified Nursing Assistant (10+ years) Handling customer inquiries Accounts receivable management Health insurance referral requirements Health insurance information Behavioral health Medical scheduling Time management Organizational skills Data entry Heavy lifting Sales Patient care Team building Adults with developmental disabilities Teamwork excel EMR systems Medical office experience Revenue cycle management Outpatient Surgical scheduling Customer support experience within finance industry Microsoft Outlook EHR systems Appointment scheduling Private practice experience Load & unload Manual transmission Collaborate with healthcare professionals Patient service Acute care Computer operation powerpoint (10+ years) Care plan evaluation Clerical experience Cerner Health information management Lab result tracking Meal Preparation (10+ years) Dental office experience Insurance medical billing Live chat Attention to detail Healthcare referral management Customer relationship building Acute care experience Computer skills Triage Medical terminology Typing Medical billing Ambulatory surgery center experience Vital Signs (10+ years) Palliative care expertise Medication administration CPR Office management Insurance verification Health insurance pre-authorization requirements Physiology knowledge Medical assisting Long term care HIPAA Home health Driving Laboratory Experience ICD coding Dementia Care (10+ years) Manual handling Practice management Basic life support Business development Performance management Alzheimer's Care Healthcare practice team management Nursing ICD-10 Patient assessment Home care Filing Medical records Achieving HIPAA compliance Employee relationship building Electronic health records (EHR) management Case referral Medication management Phlebotomy Cna Certified Hospice experience CNA (10+ years)

Languages

English

Certifications

CNA

June 2009 to June 2026

State Tested Nursing Assistant

June 2009 to June 2026

CPR Certification

October 2023 to October 2025

AED Certification

October 2023 to October 2025

Driver's License

Certified Medical Assistant

BLS Certification

ACLS Certification

Life & Health Insurance License

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