Jamie Carubia
@jamiecarubia
Detail-oriented pre-authorization specialist with healthcare industry experience.
What I'm looking for
I am a dedicated Pre-Authorization Specialist with extensive experience in the healthcare industry, currently working at Saint Clares Hospital. My expertise lies in processing pre-authorization requests efficiently while ensuring compliance with insurance guidelines. I excel in using various insurance claims software and EHR systems, including EPIC, to facilitate smooth authorization processes. My strong communication skills enable me to effectively collaborate with healthcare providers, patients, and insurance companies.
Throughout my career, I have held various roles, including Endoscopy/OR Scrub Technician and Emergency Room Technician, where I honed my skills in patient care and documentation. My experience as a Pre-Certification Specialist involved analyzing claims and overturning denials, showcasing my ability to navigate complex healthcare scenarios. I am committed to delivering high-quality patient care and maintaining professionalism in high-pressure environments.
Experience
Work history, roles, and key accomplishments
Pre-Authorization Specialist
Saint Clares Hospital/Prime Healthcare
Aug 2024 - Present (10 months)
Efficiently processed pre-authorization requests while ensuring compliance with insurance guidelines. Communicated effectively with healthcare providers, patients, and insurance companies to facilitate smooth authorization processes.
Endoscopy/OR Scrub Technician
Hackettstown Medical Center
Apr 2023 - Dec 2023 (8 months)
Assisted surgeons and nurses in the operating room during surgical procedures. Managed sterile supplies and equipment, provided patient care, and maintained accurate documentation.
Pre-Certification Specialist
Imagecare
Apr 2022 - Apr 2023 (1 year)
Ensured pre-certification for medical claims and analyzed claims for proper ICD-10 codes. Successfully overturned denials for insurance claims and communicated with doctors and patients regarding individual cases.
Emergency Room Technician
St.Clare Hospital
Nov 2021 - Feb 2022 (3 months)
Maintained accurate patient records and communicated with the healthcare team to ensure quality care. Assisted with patient assessments, triage, and monitoring vital signs in a fast-paced emergency room environment.
Lead Emergency Room Technician
Atlantic Healthcare
Jun 2018 - Nov 2021 (3 years 5 months)
Triaged patients and assisted with minor procedures, including performing EKGs, IV placements, and wound care. Proficiently used electronic medical records and collaborated with healthcare team members to deliver high-quality patient care.
Paralegal
Lucid Law
Jan 2018 - May 2018 (4 months)
Conducted legal research and drafted legal documents, including processing bankruptcy applications with federal courts. Managed attorney scheduling, time tracking for cases, and firm accounting.
Case Manager
Certified Asset Management
Mar 2017 - Dec 2017 (9 months)
Managed client cases from specific financial institutions, including inventory tracking and ordering. Dispatched drivers for vehicle repossessions.
Administrative Assistant/Executive Assistant
Futurewei Technologies
Jun 2014 - Feb 2017 (2 years 8 months)
Responsible for project and event finance and budgeting, as well as managing travel itineraries for VPs. Handled event planning, inventory tracking, and domestic and foreign shipping and receiving.
Education
Degrees, certifications, and relevant coursework
University of Phoenix
Bachelors of Science, Psychology
Currently pursuing a Bachelor of Science in Psychology. Focusing on understanding human behavior, cognitive processes, and mental health.
Raritan Valley Community College
Associates in Legal Studies, Legal Studies
Grade: Graduated with Honors
Completed an Associate's degree in Legal Studies. Gained foundational knowledge in legal principles, research, and document drafting. Graduated with academic honors.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Interested in hiring Jamie?
You can contact Jamie and 90k+ other talented remote workers on Himalayas.
Message JamieFind your dream job
Sign up now and join over 85,000 remote workers who receive personalized job alerts, curated job matches, and more for free!
