Anna Kuznetsoff
Manalapan
Summary
A healthcare prior authorization representative with strong background in authorization processes and insurance compliance. Proven track record of streamlining approval workflows and enhancing efficiency within high-pressure environments. Known for collaborative teamwork and adaptability to evolving needs, fostering positive outcomes.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Prior Authorization Representative
Princeton Medical Group
12.2024 - 09.2025
- Prior authorization processes, approvals, denials, appeals.
- Approved MOUNJARO for obesity 3 times, with 3rd appeal.
- Knowledge how to work with specialty drugs.
- Processed prior authorization requests efficiently, ensuring compliance with insurance guidelines.
- Reviewed medical documentation to determine eligibility for procedures and treatments.
- Collaborated with healthcare providers to gather necessary information for authorization approvals.
- Trained new team members on prior authorization processes and best practices.
- Led initiatives to reduce turnaround times for authorization requests, enhancing patient care access.
Medical Assistant/Prior-Authorization Specialist
ABC Neurology
02.2018 - 10.2024
- Completed Prior-Authorizations for MRIs, CT scans, X-rays and Medications for proper Medical Insurance coverage.
- Covered front desk, scheduled appointments, prepared patients during office visits.
- Utilized KAREO program, proficient knowledge of ICD-10 codes, as well as write Medical Letters of Necessity as per doctor's guidelines.
- Assisted in patient intake procedures, ensuring accurate data entry and efficient workflow.
- Coordinated patient appointments, optimizing scheduling to reduce wait times.
- Maintained medical records, ensuring compliance with HIPAA regulations and data integrity.
Medical Assistant
Certified dermatology office
09.2017 - 12.2017
- Reviewing medical histories, obtaining consent forms, collecting vital signs and patient history, preparing patients for procedures and administering medications.
- Ensured the cleanliness, sanitation and maintenance of all facilities, exam rooms and equipment.
- Closing office after departure of all personnel as well as opening office in the morning.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Education
Medical Assistant & EMR Specialist (Administrative & Clinical) - Medical Assistant Program
American Institute of Medical Sciences & Education
NJ07.2017
Skills
- Patient care
- Medical Laws & Ethics
- Medical Insurance
- Claim follow up
- Patient scheduling
- HIPAA compliance
- Insurance verification
- Medical terminology
- Patient insurance prior authorizations
- Attention to detail
- Time management
- Problem-solving abilities
- Vital Signs
- EKG
- ICD-10 codes
- Office apps
Certification
- AMT (RMA), 2017-09-01
- CPR/BLS-Certified
Languages
English
Bilingual or Proficient (C2)
French
Intermediate (B1)
Russian
Bilingual or Proficient (C2)
Ukrainian
Bilingual or Proficient (C2)
Timeline
Prior Authorization Representative
Princeton Medical Group
12.2024 - 09.2025
Medical Assistant/Prior-Authorization Specialist
ABC Neurology
02.2018 - 10.2024
Medical Assistant
Certified dermatology office
09.2017 - 12.2017
Medical Assistant & EMR Specialist (Administrative & Clinical) - Medical Assistant Program
American Institute of Medical Sciences & Education