Laura Weissman
Gilbert,AZ
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
2
2
years of professional experience
Work History
Prior Authorization and Networking Coordinator
Banner Health
05.2022 - Current
- Document case activity, communications, and correspondence in the computer system to ensure completeness and accuracy of account activity and actions are taken to resolve outstanding issues
- Obtain prior authorizations; initiate request, obtain additional required information, track progress, and expedite responses from insurance carriers, providers and other payers
- Coordinated with billing department to resolve discrepancies related to denied claims due to incomplete or incorrect prior authorizations.
- Enhanced communication between healthcare providers and insurance companies, ensuring prompt resolution of issues related to prior authorizations.
Clinical Care Guide, Clinical Review Processor
Oscar Health Insurance
- Case management, Post discharge planning and follow-up
- Processing prior authorizations, medical coding, Checking for accuracy in billing and coding, training new hires
- Utilization Review
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Verified eligibility and compliance with authorization requirements for service providers.
Accounts Receivable
CVS/Omnicare
- Ensuring timely and accurate account payment for outstanding balances while demonstrating excellent customer service for long term care patients and their families
- Additional responsibilities will include collecting payments, scheduling payments and reviewing resident's statement of account for proper account management
- Working with Medicare, Medicaid and commercial insurance.
- Reduced late payments by maintaining strong relationships with clients and implementing effective follow-up procedures.
- Negotiated payment arrangements with customers to establish timely receipt of payments.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Reduced outstanding accounts receivable balances by diligently following up on overdue payments.
Standardized Patient/Chief Proctor
University of Arizona College of Medicine
- Demonstrating interviewing skills with medical students, allowing students the opportunity to develop their communication and clinical skills
- Assisted with the development and implementation of new examination policies, ensuring a fair and consistent testing environment for all students.
Business Owner
Scottsdale Pet Hotel
- Operating successful pet boarding facility, grooming salon and dog rescue
- Managing all aspects of business, including payroll, human resources, training, marketing, sales, social media, accounting and all areas of customer service
- Director of animal rescue which has placed 6,000 animals in their forever homes
Crisis Counselor
Terros
- Providing counseling, advocacy and referral to individuals in acute crisis within the community
Education
Certificate - Medical Billing and Coding
Brookline College
Tempe, AZMaster's - Public Administration
Arizona State University
Tempe, AZBachelor of Science - Sociology
University of Arizona
Tucson, AZSkills
- Prior Authorization Process
- Medical Coding
- Quality Assurance Practices
- Insurance procedures
- Provider Relations
- Medical Billing
- Insurance Verification
- Medicare and Medicaid knowledge
- Electronic Health Records Proficiency
- Medical terminology knowledge
Timeline
Prior Authorization and Networking Coordinator
Banner Health
05.2022 - Current
Clinical Care Guide, Clinical Review Processor
Oscar Health Insurance
Accounts Receivable
CVS/Omnicare
Standardized Patient/Chief Proctor
University of Arizona College of Medicine
Business Owner
Scottsdale Pet Hotel
Crisis Counselor
Terros
Certificate - Medical Billing and Coding
Brookline College
Master's - Public Administration
Arizona State University
Bachelor of Science - Sociology
University of Arizona