Danielle Crouts

Answered customer inquiries and provided accurate information regarding products and services.

Provided excellent customer service to resolve customer complaints in a timely manner.

Gathered customer feedback through surveys and used the data to improve customer service.

Resolved complex problems by working with other departments to provide solutions that meet customer needs.

• Notified ordering providers of denied authorizations.
• Performed detailed medical reviews of prior authorization request, following established criteria and protocols.
• Verified patient's insurance eligibility prior to appointment date for payment purposes.
• Maintained high level of professionalism when speaking to doctors and insurance companies.
• Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.