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Gianní’s Mom User

@giannsmomuser

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Experienced medical administrative specialist with 10 years in patient services and prior authorization.

United States

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What I'm looking for

I am seeking a long-term administrative role in healthcare where I can manage prior authorizations, scheduling and patient intake, contribute to process improvements, and grow into leadership while working in a collaborative, compliance-focused environment.

I am an innovative medical administrative professional with 10 years of experience in customer service, leadership, training, supervisory and administrative roles. I have managed scheduling, billing, intake, insurance verification, prior authorizations, and daily patient-facing operations across ambulatory and surgical settings.

My background includes roles as Prior Authorization Specialist, Surgery Scheduler/ASC Coordinator, Office Manager, and Front Desk Specialist at hospitals and specialty clinics. I have driven improvements in chart preparation, authorization processing, insurance communications, and revenue functions while maintaining HIPAA compliance.

I am a quick learner who works well independently and in teams, with hands-on experience using EPIC, Cerner, eClinicalWorks and other PM/EMR systems, QuickBooks, and common office suites. I seek a long-term role that leverages my administrative and authorization expertise for growth and impact.

Experience

Work history, roles, and key accomplishments

Current

Prior Authorization Specialist

Current

Arthritis & Rheumatology Center PC

Nov 2023 - Present (1 year 10 months)

Managed prior authorizations for IV and injectable medications, verified benefits and coordinated medication delivery with patients and pharmacies to ensure timely access to therapy.

Insurance Verification Patient Coordination Medical Billing EMR HIPAA

Authorization Specialist Lead

Restore First Health

Feb 2023 - Oct 2023 (8 months)

Reviewed insurance data and processed prior authorizations across service lines, coordinated referrals and approvals, and maintained authorization tracking to support clinic operations.

Referral Management EMR Data Entry HIPAA

Surgery Scheduler & ASC Coordinator

Alliance Spine & Pain

Feb 2022 - Feb 2023 (1 year)

Scheduled surgeries and clinic appointments, prepared patient charts and wristbands, verified demographics and insurance, and coordinated perioperative patient communications and follow-ups.

Patient Registration Insurance Verification EMR Chart Preparation HIPAA

Medical Office Floater

Extremity Healthcare

Apr 2021 - Feb 2022 (10 months)

Provided front-office and clinical support across podiatry clinics, handling registration, scheduling, vitals, billing entries, co-pay collection and basic clinical assistive tasks.

Patient Registration Scheduling Insurance Verification Vital Signs EMR HIPAA

Front Office Specialist & Surgical Scheduler

WellStar Health System

Oct 2020 - Mar 2021 (5 months)

Managed front office operations, patient registration, scheduling, pre-certification and worked in EPIC and OP Rehab EMR to ensure accurate patient records and billing readiness.

Epic Patient Registration Insurance Verification Medical Billing Data Entry Customer Service

Education

Degrees, certifications, and relevant coursework

Community College of Baltimore County (CCBC) Essex

Healthcare / Administrative Support

2013 - 2017

Attended Community College of Baltimore County, Essex campus from August 2013 to May 2017 focusing on coursework supporting healthcare administration and clinical office operations.