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Online Resumes with "Prior Authorizations"

Pharmacist - 3 Years of Experience - Near 60616

of the study: To evaluate the outcomes of students from different professional health fields when collaborating with one another as a means to effectively better patient-care in the health system. Advisor: Diana Isaacs, PharmD., BCPS, BC-ADM ADVANCED PHARMACY PRACTICE EXPERIENCES August 2013 - October 2013 Internal Medicine Team C University of Chicago Medical Center, Chicago, IL Preceptor: Jennifer Austin, PharmD Responsib...

Tags for this Online Resume: Chicago, Insurance, Prior Authorization, Long Term Care, Communication Skills, Research, Immunization, Management, Pharmaceutical

Billing/Coding Specialist - 5 Years of Experience - Near 07621

Tags for this Online Resume: bergen county, insurance verification, prior authorization, cma, collections

Billing/Coding Specialist - 17 Years of Experience - Near 55112

Professional Summary I have been Office Manager for Dr. Gary E. Schnitker for 15 years, performing all office duties including payroll, taxes, surgery scheduling, coding/billing, and managing all accounts. I have expertise in working with insurance companies, including verifying coverage, prior authorizations, and claims follow up. I am also trained in ICD 10 and electronic medical records. I am a member of a Coding Workgro...

Tags for this Online Resume: Bank Deposits, Deposits, Receivables, Benefits, Medicare, Payroll, Billing, Insurance, Coding, Data Entry

Manager - 15 Years of Experience - Near 30066

For over twenty years I have successfully performed a variety of Operations-related functions for companies both large and small in both line and staff departments. Originally I did those jobs myself then I trained and supervised others doing the same. I have managed multiple departments and had overall responsibility. Progressively increasing authority followed excellent results. I understand and have performed the staff w...

Tags for this Online Resume: Office Manager, Financial Analyst, Manufacturing Manager, Operations Manager, Accounting, Bookkeeper, Call Center, Insurance, Management, Atlanta, Six Sigma Yellow Belt, Planner

Billing/Coding Specialist - 20 Years of Experience - Near 77014

Skills Summary____________________________________________________________ * Claims processing * Billing/Coding * Payment posting * Accounting adjustments * Accounts Receivable * Accounts Payable * Reimbursement analysis * Collections * Intake * Benefits verification * Prior Authorizations * Pre-determinations

Tags for this Online Resume: Billing, Benefits, Collection, Insurance, Medical, Medical Billing, Policies and Procedures, Coding, Referrals, Accounting, EPIC

Home Health Aide

AREAS OF EXPERTISE * Medical Billing/Coding * Medical Billing Practice * Communication Procedures Ethics (Internal/External) * Medical Terminology * Patient Care & Interaction * Customer Service/Relations * Handling Confidential * Problem Solving * Document Management Information * Organizational Skills * Clerical Skills

Tags for this Online Resume: Accounts Payable, Accounts Receivable, Billing, CCU, Coding, Collection Processes, Customer Service, Document Management, Filing, Health Care Industry, medical secretarial, electronic medical records management, healthcare professional, data entry, obtaining prior authorizations, denial and appeal processes

Pharmacist - 20 Years of Experience - Near 85374

Summary Pharmacist and Pharmacy Manager (PIC) with over 30 years of experience in ambulatory Pharmacy. I have managed chain Pharmacies and have experience in 340B Pharmacy Management and Operations and HRSA compliance regulations for 340B Pharmacy. Experience with EHR using E-Clinical Works and Pharmacist prescribing and refill authorization using protocols. I have experience as a Clinical Pharmacist doing Medicare Part D P...

Tags for this Online Resume: Insulin, Purchasing, Inventory, Scheduling, Ambulatory Services, Compliance, Drug Interaction, EHR, GloboMax PDx Pharmaceutical Development Expert Tools, Interactive Voice Response, Pharmacist

Prior Authorization Review Clinical Pharmacist

I would like to continue my career working on prior authorization requests based on clinical pharmacist review.

Ideal Companies: CRSA, Aetna, Blur Cross Blue Shield

Tags for this Online Resume: prior authorization review pharmacist, clinical pharmacist, PBM pharmacist

Case Manager - 12 Years of Experience - Near 30040

SUMMARY EXPERIENCE Significant experience in nursing: Critical Care, Nursing management Case Management, ongoing Utilization Review with Medicare and Medicaid experience. Strong administrative and communication skills. Team Lead DME/Radiology prior authorization. Responsible for PA reviews and appropriate Turn around Times for the following areas: DME, Radiology, HOTS, Meds, Office visits, Emergency and non-Emergency transp...

Tags for this Online Resume: Radiology, Computer Aided Software Engineering, Medical, Obstetrics, registered nurse

Medical or Health Services Manager - 20 Years of Experience - Near 07087

To obtain a challenging Coordinator position that will utilize my skills such as customer service, scheduling, insurance verification, prior authorization & follow ups. Knowledge on CAHC, JACHO and URAC. February 2017 - Present Empire Specialty Pharmacy West New York, NJ Intake/Prior Auth Coordinator * Obtain referrals from doctors, insurance companies and account representatives * Insurance verification and eligibility * O...

Tags for this Online Resume: Accenture FOUNDATION, Acquired Immune Deficiency Syndrome (AIDS), Coaching, English Language, Sports, healthcare

Customer Service Representative - 15 Years of Experience - Near 23505

Anthem Clue Cross Blue Shield 07-21- 16 thru 07-25-2017 Pharmacy tech Rep * Worked as a pharmacy tech rep answered incoming calls from providers office while initiating prior authorizations for members medications also processed rejected claims for members medications . while documenting members accounts regarding each transaction that took place carefully

Tags for this Online Resume: Insurance, Typing, Typing Skills, Call Center, Life Insurance, Problem Solving, Problem Solving Skills, Troubleshooting, Customer Service, Services, customer service, call center, customer service representative, sales associate

Bookkeeper - 15 Years of Experience - Near 85382

SUMMARY OF QUALIFICATIONS * Certified Technical Trainer (CTT, CompTia) * Call Center - Insurance industry (Benefits, Claims Processing, Prior Authorization) * Senior Living (business office and Learning & Development) * Accounts Receivable, Accounts Payable (Agresso), Payroll (Kronos), Human Resources * E-Learning and Blended Training * Strong analytical and problem solving skills along with effective written and verbal com...

Tags for this Online Resume: Accounting, Financial, Financial Services, Medicare, Payroll, Services, Adobe