Performed quality assurance reviews of medical records for accuracy and completeness.
Assisted in developing processes for maintaining current information in patient's files.
Retrieved patient medical records in response to requests from authorized personnel.
Reviewed medical records for completeness and accuracy according to established guidelines.
Updated patient files with new medical information as needed.
Prior Authorization
Doctors Pain Clinic
Howland, Ohio
02.2024 - 08.2024
Reviewed requests for prior authorization by gathering pertinent information from medical records, insurance policies, and provider notes, in order to make an informed decision about treatment plans.
Ensured compliance with prior authorization criteria and guidelines established by insurance companies.
Maintained accurate records of all activities associated with the prior authorization process.
Completed prior authorization requests within required timeframes and ensured appropriate documentation was obtained.
Medical Receptionist
Ohio Institute Of Pain Management Of hio
Warren, Ohio
06.2012 - 01.2024
Greeted and checked in patients, updating patient information in computer system.
Processed referrals for specialist care when requested by physicians or patients.
Scheduled patient appointments, verifying accuracy of appointment times with providers.
Maintained supply inventory for office area, ordering items as needed and stocking shelves.
Prepared charts for new patients, ensuring all necessary forms were completed correctly.
Maintained confidentiality of patient information according to HIPAA regulations.
Answered incoming calls, responding to inquiries from patients and other medical offices.
Workers' Compensation
Ohio Institute of Pain Management
Warren, Ohio
06.2012 - 01.2024
Retrieved all new injured workers claim information utilizing BWC website.
Scheduled injured workers for C9's for approval on treatment ordered by Provider.
Kept injured workers Medco 14 and C84 up to date.
Billed out all Workers' Compensation on HCFA forms utilizing Chirotouch software.
Insurance Verification and Prior Authorization
Ohio Institute of Pain Management
Warren, Ohio
02.2012 - 01.2024
Verified client information by analyzing existing evidence on file.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Human Resources Training Specialist at Warren-Trumbull County Public LibraryHuman Resources Training Specialist at Warren-Trumbull County Public Library