
Detail-oriented professional with strong customer service skills. Experienced in HIPAA compliance and insurance verification, ensuring accurate record maintenance and effective issue resolution.
Confirm patient eligibility, benefits, and coverage requirements for upcoming services across commercial, Medicare, and Medicaid plans.
Submit prior authorization requests to insurance payers using clinical documentation, diagnosis codes and procedure codes.
Communicate with assigned sales representative to obtain necessary medical records, chart notes and justification for services.
Follow up with insurance companies to track status, resolve issues and appeal denials when appropriate.
Maintain accurate records of all authorization requests, approvals, denials and correspondence.
Adhere to HIPAA regulations and payer specific rules.
Supported healthcare providers by documenting medical encounters with the help of artificial intelligence technology, Dragon Ambient eXperience (DAX).
Provided clinical documentation in the following specialties: Family Medicine, INternal Medicine, Orthopedics, Psychiatry, Cardiology, Gastroenterology, Rheumatology, Oncology, Pediatrics, OBGYN, ENT, Dermatology, Pain Management and Hematology.
Maintained a minimum of 98% document accuracy which included grammar, punctuation, sentence structure and met and exceeded month audio hours required.
Excellent listening skills and the ability to understand diverse accents and dialects of physicians, their staff and patients.
Experience with EHR's, specifically EPIC.
Prepared up to 50 charts daily prior to upcoming weeks schedule.
Independently requested any prior authorization that were required and verified patient's eligibility.
Updated Patient demographics including addresses, phone numbers, names, birthdates and insurance information.
Corrected any coding discrepancies prior to submitting a claim for reimbursement.
Completed payment processing of patient co-pays and deductible accordingly.
Specialized in filing accurate medical insurance claims.
Processed medical claims for inpatient, outpatient, surgical, in-office procedures, office visits and consultations.
Responsible for all hiring, training goal setting and the procurement of credit applications from local new and used car dealerships.
Contacted and secured new business accounts and cultivated new business relationships.
Originated automotive loans within the South Orange County region in California.
Consistently met and exceeded monthly financial objectives.
Responsible for cultivating relationships in assigned territories to increase revenue in the automotive industry.
Youngest Branch Manager in the company.
Met and exceeded monthly and quarterly goals.
Responsible for training new loan officers within the branch.
Approved or declined credit applications that were submitted for financing from automotive dealerships in my assigned territories.
Approved and declined credit applications submitted for auto financing from local new and used car dealerships.
Assisted with any issues in regard to the funding of the loans.
Held several positions within the company over the years.
Started out as a Data Entry Specialist entering auto loan applications from local automotive dealerships.
Promoted after 3 months to a Dealer Reserve Clerk and was responsible for the tracking and collection of dealer reserves owed to Western Financial.
Promoted after 1 year as a Dealer Reserve Clerk to Loan Officer in the Direct Loan Department where I approved or declined applications for equity loans, new auto loans and personal loans.
Efficiently engaged in customer service with the loan applicants ensuring the appropriate loan papers were signed along.
Knowledge of forms required by the Department of Motor Vehicles required for the selling and purchasing of automotives.