Krystal Funderburk

• Assistant Manager
• Process & Maintain Referrals:
• Obtain Outpatients Authorizations by Optum
• Insurance Eligibility Verification's BC/BS, Aetna, Medicare Medicaid Cigna,
• Request medical records for any new referral indicating hospital discharges
• Processing Medical records for SSI, other medical facilities requesting medical records
• Collecting Co Pays and Co Insurances
• Schedule Intake appointments with Therapist
• Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
• Schedule follow up appointments
• Check voicemails, Emails
• Assisted coworkers and staff members with special tasks on daily basis.

• Check In patients for their appointments
• Schedule in IDX and Cerner
• Register patients
• Verify/ Enter demographics
• Scanned in Identification cards and Insurance Cards
• Provide correct paperwork for each modality
• Mammograms, Cat Scans, Ultrasounds, X-ray
• Schedule patients for Radiology Exams
• Balance payments at End of day
• Request Dr Orders for patients emailing or calling Dr Offices
• Scanning in labs
• Maintained computers, telephone systems, copiers and fax machines.
• Operated telephone console to receive incoming calls.

Operates as a Pre-Authorization Specialist & Call Center Rep

• Call Dr. Offices to obtain Dr. referral an clinical from the patient visit

• By following the insurance guidelines I obtain authorizations from different Insurance companies Aetna, Cigna, BCBS, Anthem, United Healthcare, State Insurances

• Enters patient demographics.

• Knowledge of medical terminology.

• Manage patient records and maintain documentation.

• Scanning patient's physician orders and correctly enters data in patients' electronic medical record.

• Follow up with Dr. Office on patient's denials from the insurance

• Answering 75 calls day
• Adhered to company policies and scripts to consistently achieve call-time and quality standards.
• Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
• Delivered prompt service to prioritize customer needs.
• Exhibited high energy and professionalism when dealing with clients and staff.

• Answered phones and scheduled appointments
• Maintained filing system
• Collected payments
• Performed insurance verifications
• Handled patient records and prescriptions
• Managed patient check-in and check-out
• Collected payments and accounts receivables
• Knowledge of Medical terminology.