Dynamic professional with extensive experience in insurance verification and EHR management at Orlando Orthopaedic Center. Proven ability to enhance processes and improve patient satisfaction through exceptional customer service and detail-oriented approach. Skilled in multi-line phone operations and HIPAA compliance, consistently delivering results in fast-paced environments.
. Responsible for verifying eligibility and benefits through insurance companies including obtaining valid referral.
. Maintain ongoing tracking and appropriate documentation on referrals.
. Review details and expectations about referrals. Ensure that referrals are addressed in a timely manner.
. Transcribes faxed referral requests via On-Base fax system into EHR.
. Maintain working knowledge of ICD-10 and CPT codes.
. Coordinates follow-up care with the referral as the referral expires.
. Ensures Primary Care provider is accurate based on payer guideline.
. Conducted, coordinated and implemented a comprehensive training program for staff, both new-hire and existing staff.
. Updated job knowledge by participating in educational opportunities.
. Developed individual results by maintaining policy and procedure resources; providing.
coaching; conducting training sessions; developing outcome improvement resources.
. Performed all other duties as required.