Kelly Korzun
Morgantown,WV
Summary
Experienced Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 10 years of experience and willingness to take on any challenge.
Overview
19
19
years of professional experience
Work History
Insurance Specialist
WVU Medicine
07.2014 - Current
- Verify insurance benefits and eligibility for patients
- Process eligibility and benefits verification and authorization request
- Obtain prior authorization for procedures when required
- Communicate effectively with medical professionals at various levels within the clinic to provide accurate information regarding referral and authorization requirements
- Contact outside facilities and providers to obtain referrals for patients when required
- Submit authorization request for out-of-network insurance providers when necessary
- Enter referral / authorization information into Epic
- Managed a high volume of referrals daily
- Submit authorization request to insurance carriers to obtain prior authorization for testing and procedures.
- Monitor pending cases closely, following up on outstanding documentation needed for successful approval outcomes.
- Code ICD-10-CM and CPT coding guidelines as needed prior to authorization submission.
Patient Registration Specialist
WVU Medicine
07.2005 - 07.2014
- Gathered demographic and insurance information to register patients for medical appointments.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Improved patient satisfaction by efficiently registering patients and verifying their insurance information.
- Maintained strict compliance with HIPAA regulations while handling sensitive patient information.
Education
No Degree - Medical Terminology
MTEC
Morgantown, WVHigh School Diploma -
University High School
Morgantown, WV05.1984
Skills
- Customer Service
- Insurance Coverage Verification
- Documentation skills
- Account Management
Timeline
Insurance Specialist
WVU Medicine
07.2014 - Current
Patient Registration Specialist
WVU Medicine
07.2005 - 07.2014
No Degree - Medical Terminology
MTEC
High School Diploma -
University High School
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