
I am a Collections Specialist with 21 years' experience in the medical business office setting. With 5 years experience in Radiation oncology. I have extensive knowledge of third party reimbursement procedures. I am accurate and detail- oriented with strong analytical, organizational and customer service skills.
Retrieve and print out daily pre-certification form as needed and required.
Obtain pre-certification authorizations for radiation and breast cancer patients, by contacting the insurance company via telephone
contact, fax, and/ or online for all surgery cases, admissions, and hospital consults.
Obtain referral is not one is not available and valid.
Input benefit and referral information in patient's database in the system.
Contact patient to collect pre-surgery payments.
Perform verification on patient's eligibility and benefits via telephone contact, fax, and/ or
online when needed.
Provide coverage for other Pre-certification Specialist.
Provide coverage to other Benefits Verification Specialist as needed.
Process credit card transactions when received.
Work and complete minor and major project(s) as assigned.
Do a AR for Dialysis and Podiatry
Enter Charges for In patient and Out Patient hospital visits