Michelle Kavanaugh
Greenwood,IN
Summary
Competent precert coordinator with 10 years of experience. I work from home and am very self motivated to meet time sensitive requirements, and communicate any issues to my home office to provide the best service possible. I have connections/contacts at different facilities such as hospitals, surgery centers and insurance companies which help with a smooth transition for the patient to have a surgery.
Overview
19
19
years of professional experience
Work History
Precert Coordinator
Urology Of Indiana LLC
Greenwood, IN
09.2006 - Current
- Answered average of 30 calls, emails and faxes per day, addressing customer inquiries, solving problems and providing patient clinical to insurance companies during the authorization process.
- work side by side with the surgery schedulers to make sure the right network, the correct type of stay (inpt or outpt) was being used according to medicare guidelines.
- submit authorizations via fax, websites and by phone to the correct insurance or contracted company used by the insurance.
- call hospitals and surgery centers to inform them of the authorization number and to let them know if there has been any problems with the insurance or auth request.
- take the proper steps to obtain a referral if required before obtaining the authorization.
- make sure all in office surgeries, injections, outpt and inpt surgeries are authorized by the insurance company before the surgery or procedure happens.
Education
High School Diploma - undefined
Greenwood Community High School
Greenwood, IN1998
Skills
- Data entry
- Skilled in EHR, EMR, IDEAL, ISALUS, microsoft word, outlook and excel
- Extremely organized
- Strong verbal communication
- knowledge of icd-10 and cpt coding
- Document scanning
- Self-motivated
- networking with hospitals, surgery centers and insurance companies
Timeline
Precert Coordinator
Urology Of Indiana LLC
09.2006 - Current
High School Diploma - undefined
Greenwood Community High School