Julie Wilhite

• Reviewed prior authorization requests for compliance with hospital policies.
• Communicated with healthcare providers to gather necessary documentation.
• Coordinated with insurance companies to confirm patient eligibility for services.

I took care of prior authorizations for surgeries, MRIs, CT scans, and occasionally handled prescription medications for neurology department. Duties also include scanning patient information authorizations into media.

• Reviewed prior authorization requests for accuracy and compliance with guidelines.
• Communicated with healthcare providers to obtain necessary documentation for approvals.
• Managed incoming requests in a timely manner to ensure efficient processing.
• Collaborated with insurance companies to clarify coverage and eligibility issues.
• Documented interactions and decisions in the electronic health record system accurately.
• Coordinated with other departments to obtain additional information needed for prior authorization.
• Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
• Notified ordering providers of denied authorizations.

I was working with the provider and a PAC, putting in patients taking vitals gathering information for the doctor, helping with procedures, injections,, taking care of paperwork, FMLA Illinois, when needed I would also get the MRIs ready on the computer for the physician to review before starting their day with the necessary paperwork to have a good day and make it successful