Catherine Marte

Responsible for entering or confirming that patient data (demographics, guarantor, and insurance information) inputted in EPIC is accurate, complete, and up to date.

Responsible for entering or confirming that patient data (demographics, guarantor, and insurance information) inputted in EPIC is accurate, complete, and up to date.

Knowledge and how to Utilize dedicated insurance carrier portals, when available, to conduct verification of eligibility and Radiology specific benefits. Confirm and document the patients’ health insurance benefits and authorization requirements.

Utilize dedicated insurance carrier portals, when available, to conduct verification of eligibility and Radiology specific benefits. Confirm and document the patients’ health insurance benefits and authorization requirements.

Review and determine authorization requirements for scheduled services and utilize payer-specific portals to submit prior authorization requests before the service date.

Review and determine authorization requirements for scheduled services and utilize payer-specific portals to submit prior authorization requests before the service date.

Ensure that the appropriate procedure code(s), diagnosis code(s), and clinical information are utilized and submitted during the prior authorization process.

Ensure that the appropriate procedure code(s), diagnosis code(s), and clinical information are utilized and submitted during the prior authorization process.

Alert patients before their appointment of inactive policies, difficulties obtaining a quote of benefits or authorizations, and provides them with financial counseling based on the established criteria.

Alert patients before their appointment of inactive policies, difficulties obtaining a quote of benefits or authorizations, and provides them with financial counseling based on the established criteria.

Communicate with clinical staff, administrators, and patients, regarding insurance-related problems or discrepancies. Contact patients to request updated insurance information. Provide patients with guidance on how to resolve insurance-related issues.

Communicate with clinical staff, administrators, and patients, regarding insurance-related problems or discrepancies. Contact patients to request updated insurance information. Provide patients with guidance on how to resolve insurance-related issues.

Provide patients with estimated charges when requested. Generate and provide a Good Faith Estimate (GFE) of charges for services provided to an uninsured patient or insured patient who elects not to submit a claim to their health insurance for coverage.

Provide patients with estimated charges when requested. Generate and provide a Good Faith Estimate (GFE) of charges for services provided to an uninsured patient or insured patient who elects not to submit a claim to their health insurance for coverage.

Manages inbound and outbound phone calls and inquiries. Utilize problem-solving skills to determine the best course of action to resolve any problems resulting from insurance coverage or prior authorizations.

Manages inbound and outbound phone calls and inquiries. Utilize problem-solving skills to determine the best course of action to resolve any problems resulting from insurance coverage or prior authorizations and or perform related duties as assigned.

Performed clerical functions to ensure efficient clinic operations.

Served as liaison among patients, physicians, and clinical providers.

Verified insurance coverage and recorded payments using EPIC and ARIA.

Scheduled patient appointments, ensuring correct visit types.

Registered and maintained up-to-date patient demographic information.

Obtained insurance authorizations for pre-services while verifying information at each visit.

Managed high volume of telephone calls and electronic communications in a timely manner.

Coordinated specialist referrals and diagnostic services as necessary.

• Educated customers on self-service technologies and facilitated transactions in lobby.
• Identified financial needs of retail customers, recommending tailored solutions.
• Directed preferred and small business client inquiries to appropriate Relationship Manager or FSA.
• Collaborated with specialists to fulfill customer needs and generate banking service referrals.
• Utilized resources and technology to improve customer experience and operational accuracy.
• Managed risk effectively in all product and service transactions.
• Cultivated strong client relationships through collaboration and commitment to best interests.
• Delivered exceptional service focused on achieving clients' financial objectives.