MARYBETH LOVELACE
Northampton,United States
Summary
Dedicated employee bringing years' experience in customer service and healthcare support. Well-developed communication, time management and always eager to help others to be a team player
Overview
20
20
years of professional experience
Work History
Prior Authorization & Referral Specialist
St Luke's University Health Network
Bethlehem , PA
08.2022 - Current
- Verified insurance eligibility for referred services using online databases and contacted insurers directly when needed.
- Obtains prior-authorization and referrals from insurance companies prior to procedure or testing utilizing online websites or via telephone
- Provides insurance company with clinical information necessary to secure prior-authorization or referral
- Request retro-authorizations when needed
- Communicates with patient regarding the visit and prior-authorization process
- Provides support to physician group and community practices with utilization issues
- Works with community practices to obtain prior-authorizations
- Monitors and updates current orders and tasks; managing orders thru Allscripts and Epic to provide up to date and accurate information
- Documents in all systems prior-authorizations to ensure proper reimbursement
- Obtains necessary electronic referrals needed from scheduled specialty appointments
Patient Access Representative
St Lukes's University Health Network
Lehighton, PA
01.2021 - 08.2022
- Greeted patients and visitors in a courteous and professional manner.
- Processed patient admissions, registrations, transfers, and discharges according to established procedures.
- Verified insurance coverage for services provided by the facility.
- Collected co-pays and other payments from patients at time of service.
- Verify Demographic and insurance information
- Work on work ques
- Answer phones that come thru ER
Patient Access Representative Float Pool
St Luke's University Health Network
Bethlehem, PA
09.2018 - 01.2021
- Traveled from campus to campus as needed
- Outpatient Registration
- ER registration
- Collect copays
- Verify demographic and insurance information
- Verify insurance thru RTE
- Answer phones and triage to correct area
- Register patients arrive by ambulance
- Work on workques
Medical Secretary
Allergy Associates of Lehigh Valley
Bethlehem, PA
06.2004 - 09.2018
- Prepared patient charts for physicians prior to appointments, including updating existing information.
- Scheduled laboratory tests, imaging studies and other procedures as requested by the physician.
- Answered incoming calls in a professional manner and directed them to the appropriate personnel.
- Responded to inquiries from patients regarding billing, scheduling and appointment changes.
- Electronic billing
- Reconcile insurance payments
- Obtain pre-authorizations and obtain referral
Education
Medical Office Specialized Diploma - Medical Office Administration
Northampton Community College
Bethlehem, PA05-1995
Skills
- Medical terminology knowledge
- Insurance Verification
- Insurance precertification processes
- Referral tracking
- Insurance billing
- Patient interaction
Custom
PCRAFT 2020 Award Winner
Timeline
Prior Authorization & Referral Specialist
St Luke's University Health Network
08.2022 - Current
Patient Access Representative
St Lukes's University Health Network
01.2021 - 08.2022
Patient Access Representative Float Pool
St Luke's University Health Network
09.2018 - 01.2021
Medical Secretary
Allergy Associates of Lehigh Valley
06.2004 - 09.2018
Medical Office Specialized Diploma - Medical Office Administration
Northampton Community College
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