ANGELA K. BASKIN

• Manage calls assist members with prescription status, co pays and balances
• Process New Rx Request
• Process eligible refills , and enroll medications into Auto Refill program
• Identify customer needs
• Research problems, and provide solutions

• Act as a trusted advisor and educator on healthcare-related inquiries.
• Proactively resolve member and provider questions and concerns

using computer-based resources

• Handle calls related to confirming eligibility and membership, quoting group benefit and providing medical claim status.
• Partner internally to create a seamless experience for customers and resolve potential issues.

• Responsible for coordinating and fine-tuning daily schedules of five pediatric providers
• Obtain and accurately enter patient insurance, demographics, no fault information into IDX system
• Schedule and confirm all office visits
• Utilize medical Health Record (CROWN) to ensure accurate preparation of all follow-up appointments
• Utilize CROWN task list and scan programs
• Ensure IDX reports were reviewed daily of practice policies, i.e. x-ray protocols, financial agreements, and referral requirements
• Maintain patient confidentiality in accordance with HIPPA guidelines

• Ensure payment for services by verifying benefits with insurance provider.
• Obtain, review and input insurance authorization and referrals prior to patient services.
• Monitor and track patient authorizations, informing supervisor of any expired dates.
• Interview and assist patients with authorization documents, as appropriate.
• Maintain appropriate logs or reports according to professional, state, and federal requirements.

• Reviewed calendar and scheduled Nurse visits
• Created medical Doctor’s start of care and recertification orders
• Hospitalize and discharge patients
• Promotion Billing
• Prepared medical billing activities (Used for pre-planned medical care)
• Prepared statements and invoices
• Verified accuracy of billing data and typed billing documents
• Kept record of invoices
• Promotion Health Information Clerk
• Reviewed patient charts for completeness and compliance with state and federal regulation
• Retrieved patient records for health care personnel
• Process admission and discharge paperwork

• Answered high volume phone calls and routed callers to appropriate department
• Attended meetings; recorded and typed minutes
• Typed pertinent documents, correspondences and reports upon request
• Sorted, logged and filed documents into client and home attendant personal files
• Transmitted information or documents to vendors through mail or email