Elijah Dobbs

• Accurately capture and document patient demographics and insurance information for use by healthcare providers and insurance companies.

• Verified eligibility and compliance with authorization requirements for service providers.

• Thoroughly investigate denied authorizations, file appeals, reconsiderations, and request peer-to-peer from referring providers.

• Provide prompt and professional responses to all inquiries related to prior authorization via email and phone.

• Ensure that patient confidentiality is maintained and safeguard their medical records in compliance with HIPAA regulations.

• Mentored three children through the Big Brothers Big Sisters organization, providing positive role modeling and emotional support.
• Developed and maintained regular, meaningful relationships with mentees by engaging in recreational and educational activities.
• Provided guidance and encouragement to help mentees build confidence, develop social skills, and achieve personal growth.
• Fostered a safe and supportive environment for children to express themselves, promoting their overall well-being and success.

• Verified the patient's insurance eligibility, benefits, and requirements by contacting insurance carriers.

• Alleviated reschedules by requesting, tracking, and obtaining prior-authorization from insurance carriers within the time allotted for medical services.

• Documented pertinent medical information in several databases, including diagnoses, treatments, demographics, disease history, and severity.

• Frequently serve as a liaison between collecting agencies and healthcare facilities to establish strong business connections by promptly resolving issues.

• Retrieved clinical paper charts from nineteen locations and prepared them for electronic distribution to attorneys and medical facilities.

• I have accessed patient data using various office software programs while maintaining strict confidentiality by HIPAA laws.

• Coordinated between medical staff and patients to address patient needs and promote improvements in quality.

• Processed professional and institutional health insurance claims.

• Lead meetings to instruct coworkers in the area of accurate claims entry.

• Maintained a daily and weekly report of processor production.

• I conducted one-on-one coaching to help new hires with their daily responsibilities.