Authorized to work in the US for any employer
December 2014 to Present
Responsible for routing completed cases to nurses for review of case. Completing manual denial and approval letters to mail to members and providers along with importing documents into ECM. Filing and importing faxes in ECM. Sending Single Case Agreement (SCA) forms to Networking for OON Providers. Keeping daily counts of UM request that come in from our FSU department. Posting Administrative Approvals when appropriate as directed from Management. Perform any additional job duties assigned by Management.
December 2012 to December 2014
Responsible for clinic verification and prior authorization duties including but not limited to: coordinate and facilitate accurate patient appointment scheduling, maintains record keeping and filing systems; gathers, enters and updates data as required in Cerner and Mosaiq. Serves as backup support for other administrative personnel as required; cross trains with other personnel for all administrative duties, customer service and clerical functions answering phones, customer service and registration of patients.
January 2010 to December 2012
Responsible for generating charge document and other billing paperwork at time of patient’s clinic visit to ensure proper billing information, ordering supplies and manage office systems. Ran the front office, answering
multi-phones lines, customer service, scheduling, filing, billing, verifying insurance, bank deposits, taking notes from the doctor calling in prescriptions. Data entry of all patients and or other confidential information and doing all administrative duties.
May 1990 to January 2010
Trained and certified in FOUP wash (Front opening unified pod) dissembled specialized plastic container for proper cleaning and storing, inspected FOUP box for any defects before assembling and transporting to stocker. Transported wafers with PGV (personal guided vehicle) from tool to stockers, and stockers to tools to ensure proper transportation of wafers in a clean room environment, and maintained excellent communication skills with Intel/ Contractor employees. Trained and certified in wet etch, as well as in planar setting recipes for wafers to across contamination, working on diamond blocks, which are very fine and precise tools to ensure the right measurements and calibrations, for the wafers to be etched into cities. Inspecting the wafers under a microscope to Quality Assurance, and confidential documentation.
Certificate in Dental assisting/Admin
January 2009 to December 2011
HS Diploma in General Courses
August 1980 to May 1984