Conscientious Insurance coordinator competent in CPT and ICD codes and medical terminology. Diverse knowledge of insurance companies including Medicare, Medicaid, and commercial insurances to collect medical payments, send prior authorizations, follow-up on appeals and denials. With diverse medical work experience and certifications I am always willing to help in other aspects of the clinic when appropriate as well.
Call Spanish speaking patients, ensure demographics are correct and schedule an appointment or procedure, in addition to relaying any pertinent information.
Abstracting clinical diagnoses, procedure codes and documents other pertinent information obtained from the medical record into the electronic medical records.
Performing edits on procedural documentation before sending it to billing. Doing quarterly audits and communicating any needed improvements to the staff and providers.
Document the physician dictated patient history, physical examination, family, social, and past medical history as well as document procedures, lab results, dictated radiographic impressions made by the supervising physician and any other information pertaining to the patient's encounter.
Create Prior Authorizations, request referrals, monitor appeals and denials.
Follow a detailed plan and treat patients for chronic pain with the use of a extracorporeal shock wave device.