Kelsey Grimes

• Reviewed denial, provided next steps for denied cases, scheduled P2P appointments, connected patients to appropriate nurses or departments, assisted with team communications, coordinated preferral closures, rescheduled missed P2P appointments, and tracked errors.

• Read denial, give next options on denied case, schedule P2P, connected to correct nurse or department, assist with team chat
• Completed cross-training for EP department in October 2023
• Underwent cross-training for Issac department in February 2024

• Start Authorizations, case status, read denial, CPT code change, change facilities, connect to correct department depending on case status, assist in team chat

Direct patient care of vitals, injections, pull CSMDTN (PMP) reports, blood draws, start IV, assist with PRP procedure, referrals, urine drug screens, prior authorizations for imaging, prior authorizations for pain management procedures, prior authorizations for specialty pharmacy medications, prior authorizations for pharmacy medications, order specialty medications, insurance verification, assist billing, multi phone system