Overview
Work History
Education
Skills
Timeline
Generic

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, MD
12.2023

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

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McKenna Robison