Julia Newman

I currently look at hospital accounts, and verify insurance coverage, and what the insurance should have paid by looking at their contract. If there is an underpayment, i would look at claim and find out what caused the underpayment. This could result in sending a corrected claim, writing a reconsideration, or sending medical records, in the hopes of recovering the underpaid amount.

On this job i did notifications to several insurance companies for inpatient admission and obtained authorizations . I sent census reports to insurance companies, and notified them when their patients were discharged. I also relayed to the utilization nurses when clinical information needed to be sent in order to maintain the authorizations. Also, would relay to the insurance if the patients status changed to a different level. I basically did everything in my power to make sure the patients stays were approved.

later, i started working on insurance denials, looking at claim and finding out what needed to be done, including getting retro authorizations, asking the coding department to check coding, making sure insurance was correct, etc.

I worked in the admissions department, registering patients in the ER, and for ancillary departments, as well as admitting patients to the hospital. This required great attention to detail, maintaining medical records , correct data entry, ensuring accuracy for billing and obtaining insurance authorizations. I am very knowledgeable in HIPPA laws and everything else that goes along with working in admissions. I also spent 3 years in the radiology department as a secretary, and learned a great deal there in regards to radiology procedures.