McKenna Robison
Frostburg,MD
Overview
2
2
years of professional experience
Work History
Prior Authorization and Referral Specialist
Sandstone Primary Care
08.2022 - Current
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Performed various administrative tasks by filing, copying and faxing documents.
- Obtained payments from patients and scanned identification and insurance cards.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Scheduled appointments with specialists on behalf of clients.
- Received and routed laboratory results to correct clinical staff members.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Assisted with completion of referral forms and verified data accuracy and completion
- Facilitated referrals to other healthcare providers and resources to bridge service gaps.
- Responded to patient inquiries to offer timely updates regarding referral status.
- Obtained prior authorizations for diagnostic imaging/procedures.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Researched denied claims and contacted insurance companies to resolve these issues.
Education
Bachelor of Science - Psychology
Frostburg State University
Frostburg, MD12.2023
Skills
- Patient Referrals
- Pre-authorizations
- Insurance Verification
- Medicare and Medicaid knowledge
- Data entry proficiency/Database Management
- HIPAA Regulations/Patient confidentiality
- Appointment Scheduling/Scheduling Software
- Medical terminology knowledge
- Organizational abilities
- Effective communication skills
Timeline
Prior Authorization and Referral Specialist
Sandstone Primary Care
08.2022 - Current
Bachelor of Science - Psychology
Frostburg State University
Similar Profiles
Shaun QuickShaun Quick
Transportation Supervisor at Sandstone Health CareTransportation Supervisor at Sandstone Health Care
Caridad MartenCaridad Marten
Senior Admissions Manager at Sandstone CareSenior Admissions Manager at Sandstone Care
MAKENNA VIEMAKENNA VIE
Executive Assistant at Sandstone Care, LLCExecutive Assistant at Sandstone Care, LLC
Odessa MatzOdessa Matz
Sales Associate at Lowes Home ImprovmentSales Associate at Lowes Home Improvment
Lyndie LaurencinLyndie Laurencin
Account Manager at Total Biz FulfillmentAccount Manager at Total Biz Fulfillment