
Personable and empathetic individual with strong ability to connect with patients and guide them through healthcare processes. Knowledgeable about healthcare navigation and medical terminology, with proficiency in patient advocacy and resource coordination. Dedicated to enhancing patient experiences and improving healthcare outcomes.
• Obtains prior authorizations as required by payer, including procurement of needed clinical
documentation by collaborating with the Patient Access team and clinical teams.
• Document all prior authorization information including approval dates, billing units, procedure
codes, and prior authorization number in patient profile.
• Provide assistance with reimbursement inquiry requests, including insurance benefit verification,
prior authorization, denials and appeals, and other reimbursement issues.
• Establishes and maintains positive working relationships with all internal and external customers
as well as company employees.
• Familiar with systems Lynx and Availity