Brooke Misak

* Verified insurance benefits and eligibility for Medicare, Medicaid, and commercial plans for a wide range of DMEPOS items including orthotics, prosthetics, mobility equipment, and supplies

* Submitted and tracked prior authorizations, ensuring compliance with payer-specific coverage criteria and documentation requirements

* Prepared and reviewed medical necessity addendums, LMNs, and supporting clinical documentation to support authorization and claims approval

* Communicated with physicians’ offices to obtain prescriptions, chart notes, and clarifying documentation

* Worked closely with billing and intake teams to resolve authorization issues and reduce claim denials

* Reviewed denial reasons and assisted with appeals by providing corrected documentation and justification

* Maintained up-to-date knowledge of Medicare LCDs, NCDs, and payer policy changes

* Ensured compliance with DMEPOS standards, HIPAA regulations, and internal quality guidelines

* Collaborate with clinicians, physicians, and billing teams to ensure timely patient care.

* Support 2 Orthopedic Surgeons

* Manage Receptionists, Medical Assistants and X-Ray Technicians

* Liaison to Consultant, Accountant, Payroll Department, Physician offices, Lawyers, Hospitals and Medical Representatives

* Controlled accurate inventory and economical purchasing

* Manage physician's personal, surgical and patient schedules

* Managed daily operations of office to ensure efficient workflow and patient service.

* Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.

* Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.

* Managed front desk operations, ensuring efficient patient check-in and appointment scheduling.

* Assisted in training new receptionists on office protocols and customer service standards.

* Developed and maintained a comprehensive filing system for patient information and medical documents.

* Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance

* Confirmed appointments, communicated with clients, and updated client records.

* Answered phone promptly and directed incoming calls to correct offices.

* Kept reception area clean and neat to give visitors positive first impression.

* Handled cash transactions and maintained sales and payments records accurately.

* Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.

* Demonstrated strong multitasking abilities while managing numerous tasks simultaneously under tight deadlines.

* Collected and distributed messages to team members and managers to support open communication and high customer service.