Amanda Hammer

Receives requests and closely monitors the authorization process for the practice. Checks insurance policies to make sure treatment regimen is covered and considered medically necessary by health plan. Submits authorization requests to insurance companies including medical records if needed. Follows up daily on any outstanding authorizations, and accurately documents in medical record. Obtains all written authorizations and scans documents to ensure all procedures requested were confirmed/approved in writing by the insurance plan.

Responsible for performing collection activities on simple and complex infusion drug denials and outstanding insurance balances. Follows up on delinquent accounts, updates and maintains accurate financial records including patient accounting receivable records with sole purpose to secure payment of open patient accounts/medical claims. Responsible for initiating calls to insurance payers, patients and/or providers phone, mail to settle accounts.

Receives requests and closely monitors the authorization process for the practice. Checks insurance policies to make sure treatment regimen is covered and considered medically necessary by health plan. Submits authorization requests to insurance companies including medical records if needed. Follows up daily on any outstanding authorizations, and accurately documents in medical record. Obtains all written authorizations and scans documents to ensure all procedures requested were confirmed/approved in writing by the insurance plan.

Verifies eligibility and insurance benefits, prepares financial paperwork, inputs patient demographic and insurance information in EPIC and Mosaiq. Meets with patients to go over insurance benefits and to explain insurance and authorization process for treatment. Submits authorizations to insurance companies. Sets up peer to peer calls and submits appeals for insurance denials. Scans and uploads insurance letters and other documents into medical record. Answers phone calls and speaks to current and potential patients about insurance relates questions, concerns, etc.

Scheduled surgeries and worked closely with the nurse OR manager to ensure a well working schedule for staffing purposes and functionality of the center. Verified patient insurance benefits and obtained authorizations for surgeries. Checked in patients for surgery and collected payments as necessary. Prepared and maintained surgery charts. Collect and sorted mail and prepared daily bank deposit.

Organized and led a marketing outreach program that increased unit Audiology sales by over 50% in less than one year. Performed telephone and written outreach to maintain contact with current and previous patients. Conducted in-person and telephone outreach to build and strengthen relationships with referring practice groups and physicians.

Provided customer service while assisting members to fulfill their shopping needs. Boxed and packed merchandise and groceries and cleaned and stocked cash registers. Assisted cashiers as needed and routinely retrieved shopping carts from the parking lot.