Hayley Mitchell

• Perform high-level data entry with minimal errors.
• Provide timely oral and or written notification of the determination to the provider and member.
• Responsible for routing/processing all Out-of-network requests and following the appropriate redirection process for clinical team preparation of denials.
• Ability to meet and maintain productivity metrics.
• Responsible for supporting any assigned special projects of UM functions, customer service, and utilization management.
• Responsible for following all compliance and regulatory requirements for turnaround time, notification to providers and maintaining HIPPA.

• Contact insurance companies to verify benefits
• Clarify CPT codes for inpatient and outpatient surgeries
• Verify and complete all diagnostic imaging cases
• Validate all CPT and ICD 10 codes for all procedures
• Complete all secretarial duties for Dr. Joseph Stern, MD
• Schedule all incoming/outgoing appointments
• Handle and complete all physicians' orders at checkout
• Finalize all charges
• Maintain a work log of all incoming surgeries, injections and radiology procedures
• Work with CPT and ICD 10 codes daily

• Arranged all outside referral meetings
• Delivered practice information to referring offices
• Scheduled new patient appointments
• Entered patient's demographics and insurance information
• Answered high volume of calls
• Remained responsible for all incoming new patient appointments
• Completed scheduling process

• Completed all charge entries and batch balancing

• Collected copays and prior balances on accounts

• Finalized any process for patient registration

• Verified insurance

• Trained many on Citrix software

• Finished pre-certification for scheduled diagnostic tests

• Assisted patients with enrollment online

• Rotated weekly from check-in and check-out

• Finalized all charges and batch reports