Greta Coles

Empathetic and customer-focused customer service and sales professional managing sales and customer service in person, phone calls, Internet inquiries and chats, actively listening addressing customers needs and ensuring they have a positive experience. Demo the vehicle that the customer has chosen to purchase. Data entry all pertinent information in the system that is required. Congratulating the customer on the purchase of a New vehicle.

• Facilitated prior authorization requests for medical procedures and services to ensure compliance with insurance policies.
• Collaborated with healthcare providers to obtain necessary information for timely authorization approvals.
• Reviewed clinical documentation to determine eligibility criteria for patient services and treatments.
• Implemented process improvements to enhance workflow efficiency and reduce turnaround times for authorizations.
• Maintained comprehensive knowledge of insurance regulations and coding guidelines to support accurate submissions.
• Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
• Used data entry skills to accurately document and input statements.
• Enhanced efficiency in processing prior authorization requests by streamlining documentation procedures.
• Contributed to a high level of customer service by quickly addressing questions or concerns from patients regarding their coverage or denials.
• Tracked referral submission during facilitation of prior authorization issuance.
• Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.

• Honoree of Greta Robinson 1985 Who's Who In America High School