Self-motivated healthcare professional, reliable, and committed to provide a quality service to every client.
Being able to work with USA-based clients in areas like prior authorization, medical transcription/abstraction, and insurance verification, I can adapt to different personalities and situations with professionalism and compassion.
As a certified pharmacy technician, I processed prior authorization from inbound, faxes, and cover
As a benefits and claims specialist, I provided information to the provider regarding eligibility and benefits, paid and unpaid claims, claims denial and resolution.
As a medical transcriptionist, I transcribed recorded voice files including operative reports, review of medical records, medical-legal reports, workers' compensation (QME/AME), diagnostic imaging, emergency room reports, laboratory reports, echocardiogram, and other medical reports.
As a medical abstractor, I created a detailed summary of the patient's history, physical/objective findings, diagnosis, procedures, and treatment plan from scanned documents.
Knowledgeable with EHR-Practice Fusion, Updox, NextGen.
Experience: 2 - 5 years
Processed prior authorization from inbound, faxes, covermymeds for each prescription following HIPAA Guidelines. Addressed authorization denial by educating providers and members regarding insurance guidelines, updated policies, and appeals process. Faxed medication authorization forms, denial letters, and approval letters to the provider's office.
Experience: 1 - 2 years
Knowledge about insurance plan type, in-network benefits, deductible, copay, co-insurance, maximum out-of-pocket, out-of-network benefits, other coverage like dental/visual, preventive services, DME/mobile service coverage, physical therapy number of visits per year.
Experience: 5 - 10 years
With HIPAA compliance training from a previous job role
Experience: 2 - 5 years
Worked as a certified pharmacy technician/prior authorization specialist, benefits and claims specialist.
Experience: 5 - 10 years
Transcribed recorded voice files including operative reports, review of medical records, medical-legal reports, workers' compensation (QME/AME), diagnostic imaging, emergency room, laboratory reports, echocardiogram, and other medical reports.
Experience: 5 - 10 years
Worked as a medical transcriptionist - transcribed medical recorded voice files.
Experience: 10+ years
I worked in the healthcare field for more than 10 years in areas like medical transcription, medication prior authorization, insurance benefits, and claims which always required reviewing medical records and clinicals.
Experience: 6 months - 1 year
Physical therapy intern and physical therapy volunteer - used different physical therapy modalities and therapeutic exercises with patients.
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