Detail-oriented Care Coordination and Reimbursement Specialist focused on process improvement and patient education. Achieved efficient case completion through meticulous documentation and adherence to policy guidelines. Committed to enhancing reimbursement processes and organizational effectiveness.
-Handled approvals and denials for Nursing Home and Care Facility applications following MD and Nurse reviews.
-Called specific Contracts/Patients to advise of approval/denial of requests.
-Assisted Care Coordination department in achieving monthly production goals.
-Use of Ebins, Intake, and Homebridge systems to facilitate case completion.
-Posted insurance and patent payment batches in a timely manner.
-Processed files from Bank to create payment batches for the team to key.
-Processed refund requests through Auto Loader system.
-Worked department Correspondence.
-Participated in daily team huddle, and weekly Department Study Group.
-Worked special team projects as needed.