
Dynamic professional with a proven track record at Palmetto Infusion Services, excelling in insurance benefits coordination and packaging efficiency. Demonstrated expertise in relationship building and verbal communication, significantly enhancing customer satisfaction and operational productivity. Skilled in navigating complex insurance authorizations and streamlining package handling processes, achieving top-tier results in fast-paced environments.
• Provides timely acceptance and completion of new referrals.
• Performs in-depth benefit verification.
• Reviews insurance medical policy requirements and FDA guidelines.
• Obtains all needed information from MD office for insurance authorizations.
• Submits requests for insurance authorization, following up on denials, peer-to-peer reviews, and appeals.
• Answers calls from queue and assists callers in a timely and polite manner.
• Gives high priority to client satisfaction and anticipates customer needs.
• Provides excellent internal and external customer service by ensuring work meets quality standards; sets high goals or standards of
performance for self; takes pride in his/her work and completes work on schedule.
• Demonstrates adaptability to an increasingly complex and changing environment; maintaining composure under pressure.
• Takes initiative to present ideas and suggestions for process improvements to the team lead, supervisors, and management.
• Maintains industry knowledge regarding insurance authorization requirements, limitations, and exception