Magan Brown

Scheduled appts with referral sources and patients. Coordinating the appt with the modalities and patient. Checking orders for accuracy and diagnosis codes and correctly coding the order. Explaining to patients the authorization process and next steps. Going over prep and verification of insurance and demographics.

Handled calls and in person inquiries from customers regarding their bills, explaining EOB, Deductibles/Out of Pockets and contracted rates. Set patients up on payment plans and qualified patients for financial aid programs. Helped identify billing issues and helped resolve them with insurance companies, internal employees and patients.

• Handled all incoming calls from patients, referral sources, and employees
• Received all incoming orders, documented as received, and attached into patient’s charts
• Processed all incoming referrals for home health and assigned staff accordingly
• Sent referrals out to Durable Medical Equipment companies, Hospice Agencies, and other medical facilities
• Maintained a hospitalization list keeping track of all current patients hospitalized
• Submitted patients to be coded for ICD-10 to a 3rd party company and maintained the records
• Helped maintain records to be complaint with Medicare guidelines such as on call book, and emergency preparedness
• Checked all insurance benefits for patients confirming Medicare eligibility and setting up billing profiles.

• Organized, updated and maintained over 200 patient charts
• Provided on-call care at all times day and night
• Verified benefits for all patients and maintained authorizations
• Experience in coding ICD-9 and ICD-10
• Experience in Medical Billing and Coding
• Coordinated all DME needs for patients
• Understanding complex Medicare guidelines for Home Health and Durable Medical Equipment
• Accepted and processed new referrals for home health and assigning staff.

• Assisted patients with multiple chronic diagnoses, including COPD and Asthma
• Ensured HIPPA compliance
• Educated patients about their treatment
• Served as a liaison between patients and physicians to assist patients in understanding their treatment plan.
• Requested authorizations on DME equipment

• Provided accurate and appropriate information in response to customer inquiries
• Demonstrated mastery of customer service call script within specified timeframes
• Addressed customer service inquiries in a timely and accurate fashion.

• Properly directed inbound calls in phone queues to improve call flow
• Led a team of customer service representatives to increase service center profitability
• Assisted with the development of the call center's operations, quality and training processes
• Trained staff on how to improve customer interactions.