Summary
Overview
Work History
Education
Skills
Custom
Refferances
References
Timeline
Generic

Grenae Mosely

Redford

Summary

Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

30
30
years of professional experience

Work History

Central Authorization Referral Specialist

Henry Ford Hospital
Detroit
01.1995 - 01.2025
  • Provided support to referring physicians in obtaining pre-authorization for services as necessary.
  • Maintained detailed records of all patient referrals, including dates of submission, status updates, and any additional information required by insurance providers.
  • Coordinated with provider offices to ensure timely completion of referrals prior to scheduled appointments.
  • Identified potential problems with referrals before submitting them to insurers and worked with providers to resolve those issues quickly.
  • Verified insurance eligibility for referred services using online databases and contacted insurers directly when needed.
  • Participated in staff meetings and provided feedback on ways to improve procedures related to referral processing.
  • Processed incoming referral requests for medical services and submitted them to the appropriate insurance companies for authorization.
  • Reviewed all documentation associated with each referral request to ensure compliance with relevant regulations.
  • Gathered and verified insurance requirements to meet payer requirements.
  • Obtained PA for services such as diagnostic imaging.

Education

Associate of Arts - Business Administration

Henry Ford College
Dearborn, MI
07-2012

Skills

  • Customer service
  • Insurance verification
  • Effective communication
  • Problem solving
  • Attention to detail
  • Multitasking
  • Friendly, positive attitude
  • Flexible and adaptable
  • Regulatory compliance
  • Microsoft office

Custom

  • cooking
  • reading
  • traveling

Refferances

  • Pamela Jankowski Manager/Supervisior

References

References available upon request.

Timeline

Central Authorization Referral Specialist

Henry Ford Hospital
01.1995 - 01.2025

Associate of Arts - Business Administration

Henry Ford College

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