Heather Pfaff

Professional, experienced and focused Revenue & Referral Intake Specialist with extensive experience at Legacy Hospital System. Dedicated to ensuring that all referrals and prior authorizations are processed in a timely and efficient manner, meeting the highest financial and regulatory standards. Have a keen eye for detail and take pride in reviewing charges and documentation to ensure the appropriate use of CPT/Diagnosis coding practices, acting as a liaison between providers and revenue cycle departments. Possesses a deep understanding of health plan's guidelines, benefits, and basic risk models. Proven ability to enhance patient needs assessment and ensure regulatory compliance, while delivering outstanding customer service.

• Holds a sound understanding of medical terminology, CPT and ICD-10 coding as well as knowledge of insurance and managed care practices.
• Strong communication skills, both written and verbal, with the ability to effectively communicate information to a range of audiences, including patients, providers, coworkers, and management
• High levels of accuracy, attention to detail, and organizational skills to ensure smooth operations
• Proficiency in keyboard skills and the ability to navigate electronic systems relevant to the job function

Available upon request