Adriana Pierce

Prior Authorization Specialist at Rheumatology Care Specialist (2022-10 – Present)

EMR: E-Clinical Works

Review chart documentation to ensure patient meets medical policy guidelines
Prioritize incoming authorization requests according to urgency
Obtain authorization via payer website or by phone and follow up regularly on pending cases
Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations
Initiate appeals for denied authorizations
Respond to clinical questions regarding payer medical policy guidelines
Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order
Contact patients to discuss prior authorization status
Other duties as assigned

Medical Secretary at Dr. Ariel Teitel (2019-02 – Present)

Answer and manage incoming and outgoing calls while recording accurate messages.
Accomplish general office duties such as faxing, scanning and copying.
Schedule appointments, register patients and distribute sample pharmaceuticals as prescribed.
Thoroughly research newly identified diagnoses and/or medical procedures to expand skills and knowledge
Professionally and courteously verify appointment times with patients.
Assist in the maintenance of medical charts and/or electronic medical record filing.
Meticulously identify and rectify inconsistencies, deficiencies and discrepancies in medical documentation.
Enter orders into the EMR system efficiently and without errors. Determine prior authorizations for medications and outpatient procedures.
Pre-certify medical and radiology procedures.
Maintain strict patient and physician confidentiality.
Respond to correspondence from insurance companies.
Identify and resolve patient billing and payment issues.
Treat all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.

Property Manager at Public Storage (2009-11 – 2013-03)

Maintained the progress, mutual interaction and added tasks of my employees that reduce the risk of overall failure, maximized benefits and restricted costs.
Collected payments and cash posting.
Kept close contact with district manager to inform end results of monthly quotas.
Made delinquency calls and reminder phone calls for payments.
Stocked merchandise and performed storage duties.
Showed customers vacant units.
Greeted customers and attended to their inquiries.
Provided customer service

Front Desk Receptionist at Spectrum Physical Therapy (2009-05 – 2009-11)

Monitor all incoming phone call on a 4-line system
Schedule and confirm appointments.
Light book keeping.
Perform general office duties such as faxing, filing, copying and typing.
Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.
Provided customer service

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