Summary
Overview
Work History
Education
Skills
Timeline
Generic

Deborah Salvati

Summary

Clinical Administrative Coordinator for 11 years' experience, working with providers and members regarding medical and insurance benefits. I have a broad range of years in customer service experience analyzing and solving customer problems

Overview

12
12
years of professional experience

Work History

Clinical Administrative Coordinator

Optum, UnitedHealth Group
11.2012 - Current
  • Coordinates precertification, prior authorization and post service request, and provider correspondence for both Medicare and Medicaid members
  • Receives and reviews all incoming referrals ensuring completeness and accuracy
  • Conducts the clinical screening process and authorizes the initial set of sessions to provider and checks benefits
  • Refers cases requiring clinical review to a Nurse Reviewer
  • Verify appropriate ICD-10 and CPT coding usage on member prior authorizations
  • Coordinates precertification, prior authorizations for Durable Medical Equipment

Education

Business -

Hamden High School

Human Services -

Gateway Community College

Skills

  • HIPAA knowledge
  • Telephone Customer Support
  • Medicare/Medicaid
  • Clinical Documentation
  • Insurance Verification
  • Coding Procedures
  • Case Review
  • HIPAA Compliance
  • Case Management
  • Multitasking and Organization
  • Staff Training

Timeline

Clinical Administrative Coordinator

Optum, UnitedHealth Group
11.2012 - Current

Business -

Hamden High School

Human Services -

Gateway Community College
Deborah Salvati