Experienced in verifying insurance coverage and managing prior authorization processes. Known for strong problem-solving and time management skills, contributing to efficient healthcare operations.
Overview
13
13
years of professional experience
Work History
REP III-Verify
Cincinnati Children's Hospital
Cincinnati
06.2013 - Current
Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
Reviewed prior authorization requests to ensure accuracy and completeness of required information.
Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
Notified ordering providers of denied authorizations.
Responded promptly to inquiries from providers, patients and payers regarding status of prior authorization requests.
Provided guidance to providers regarding the prior authorization process.