Irene

Licensed Physical Therapist | Certified Pharmacy Technician | Rx Prior Authoriza

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Overview

Looking for part-time work (4 hours/day)

at $7.70/hour ($677.60/month)

Bachelors degree

Last Active

November 14th, 2024 (2 days ago)

Member Since

September 23rd, 2024

Profile Description

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 coverUpgrade to see actual infods for each prescription following HIPAA Guidelines. Addressed authorization denial by educating providers and patients regarding the appeals process. Faxed medication authorization forms, denial letters, and approval letters to the provider's office.

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.

Top Skills

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.

With HIPAA compliance training from a previous job role

Other Skills

Experience: 2 - 5 years

Worked as a certified pharmacy technician/prior authorization specialist, benefits and claims specialist.

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.

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.

Basic Information

Age
46
Gender
Female
Website
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Address
General Trias, Cavite
Tests Taken
IQ
Score:  113
Government ID
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