Experienced Medical Assistant with extensive knowledge of medical regulations and policies. Offers strong dedication to informed patient care, administrative excellence and confidentiality.
Overview
9
9
years of professional experience
Work History
UM Coordinator
Prime Healthcare
09.2022 - Current
Receiving authorization request for patients, from facilities and provider offices and approving and denying with supervision of a nurse.
Making phone calls to make sure we receive all medical records and documents needed.
calling and receiving phone calls regarding patients authorization status.
Authorization/Medical Coder
Loma Linda Medical Center
04.2022 - 09.2022
Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Authorization Coordinator
Inland Cardiology Medical Associates
08.2020 - 04.2022
Maintained consistent follow-up on status of prior authorization requests.
Submitted for prior authorization with required documentation to appropriate funding source.
Reviewed authorizations from payer to determine approved or denied items.
Calculated estimated copay based on current insurance benefits.
Front Desk Receptionist/ Medical Records
Susan Biegel MD
11.2018 - 07.2020
Maintained files and records by implementing effective filing systems that boosted efficiency and organization.
Entered and updated sensitive customer information during check-ins and room changes.
Confirmed appointments, communicated with clients, and updated client records.
Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
Front Desk Receptionist
Inland Rheumatology
09.2017 - 10.2018
Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
Scheduled, coordinated and confirmed appointments and meetings.
Answered multi-line phone system and transferred callers to appropriate department or staff member.
Collected room deposits, fees, and payments.
Organized, maintained and updated information in computer databases.
Medical Assistant
Karim Shaikley MD
12.2014 - 07.2017
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Updated patient information and insurance details for accurate electronic medical records.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Prepared patient charts by gathering and organizing medical records ahead of appointments.
Obtained pre-authorization from insurance companies ahead of medical services.
Restocked each medical room with adequate supply of medications and supplies in preparation for patients.
Received, recorded and filed medical payments by check, cash, and credit card.
Coordinated referrals through insurance and other medical specialists and documented details in patient charts.