Jamie Carubia - Pre-Authorization Specialist - Saint Clares Hospital/Prime Healthcare | Himalayas
Jamie CarubiaJC
Open to opportunities

Jamie Carubia

@jamiecarubia

Detail-oriented pre-authorization specialist with healthcare industry experience.

United States

What I'm looking for

I am seeking a role that allows me to leverage my healthcare expertise while fostering professional growth and collaboration within a supportive team environment.

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

SH
Current

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.

IM

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.

SH

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.

AH

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.

CM

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.

FT

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 logoUP

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 logoRC

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

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