Amy Paulantonio
Hanford
Summary
Motivated entry-level medical billing and coder with strong attention to detail and the ability to learn quickly.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Referrals and Prior Authorization Specialist
Excellence Medical Group
Hanford, CA
03.2026 - 05.2026
- Evaluated and processed prior authorization requests to ensure compliance with medical guidelines.
- Collaborated with healthcare providers to gather necessary documentation for approvals.
- Utilized electronic health record systems to track and document authorization statuses efficiently.
- Coordinated communication between patients, providers, and insurance companies to resolve authorization issues.
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Tracked referral submission during facilitation of prior authorization issuance.
Front Desk Receptionist
Cortland Dental
Fall River, MA
01.2018 - 09.2019
- Patient scheduling ensuring proper paperwork is received from the patient
- Use office equipment, answering phones, sending faxes, making photocopies, sending emails, and scanning documents.
- Verifying insurance coverages, collect co-pays and fees.
Iridium
Waterford, CT
01.2000 - 02.2015
- Office Assistant
- Data entry
- Organizing receipts, checks, and other expenses, entering into money programs.
- Identify any discrepancies with check payments.
Store Manager
FYE
Swansea, MA
07.2009 - 03.2014
- Courteously greet customers and efficiently process transactions within busy, fast-paced retail environments.
- Operate cash registers, scanner and computer to itemize and total customer purchases, collect payments and make change for cash transactions, balance drawer at the end of each shift.
- Assist with store stocking, floor-set and opening/closing procedures.
- Recommend, select, and help locate or obtain merchandise customers.
- Place special orders to call other stores to find desired items.
- Put up signage regarding promotions, changes to store regulations, etc.
- Schedule staff.
- Prepare end of day bank deposits.
- Maintain sales goals.
Education
Associate of Science - Medical Billing and Coding
San Joaquin Valley College
Visalia03.2026
Skills
- Prior authorization process
- Medical terminology
- Medical appeals handling
- Authorizations
- Patient referrals
- Data entry
- Electronic health records proficiency
- Workflow management
Certification
- CPR and First Aid AEEA
- Adult/Child/Infant CPR and first aid March 2025 - March 2027
- Typing San Joaquin Valley College
- 52 WPM 96% Accurate February 2025 - Present
- HIPPA San Joaquin Valley College
- November 2024 - Present
SUMMARY OF QUALIFICATIONS
- Answer telephones, direct calls, and take messages.
- Assist patients with re-scheduling appointments and other scheduling issues.
- Collect co-pays and other fees required prior to the office visit or treatment.
- Complete, sort, and file records of office activities, business transactions, and other activities.
- Comprehension of CPT, ICD-10-CM, HCPCS/Modifiers and Auditing
- Comprehensive knowledge of ICD-9 and ICD-10 Diagnostic and Procedural Coding
- Greet patients upon arrival and provide necessary paperwork or other information
- Microsoft Word, Excel and PowerPoint
- Operate office machines, such as photocopiers and scanners, facsimile machines, voicemail systems, and personal computers.
- Schedule and confirm appointments
- Understanding of Medical Insurance, Billing, Collections and Reimbursement
- Check eligibility and benefit verification
Timeline
Referrals and Prior Authorization Specialist
Excellence Medical Group
03.2026 - 05.2026
Front Desk Receptionist
Cortland Dental
01.2018 - 09.2019
Store Manager
FYE
07.2009 - 03.2014
Iridium
01.2000 - 02.2015
Associate of Science - Medical Billing and Coding
San Joaquin Valley College