Maricela Arauza

Confirming patient eligibility and benefits for specific services. Ensuring accurate coding and billing, submitting requests for prior authorization to insurance companies for procedures, treatments, or medications. Ensuring all necessary documentation is complete and accurate, and following up on pending authorizations. Keeping detailed records of authorization requests, approvals, and denials. Ensuring compliance with HIPAA and other relevant regulations.

Greet patients, check in/out patients and operate multiple phone lines, schedule appointments and assist patients with prescription refills, billing issues and insurance questions. Enter demographic information, create claims and scan medical records.

Backloading patients records from Allscripts into Cerner. Scanning information into Cerner that was not scanned automatically. Quality Checking Patients Medical Records. Assist regular staff with the back-loading of medical records from Dignity legacy EHR (electronic health record) to the newly adopted platform.