MICHELLE B. SIGUA

• Verify insurance.
• Complete referral for all assigned clinics and accounts.
• Ensure that referrals are processed in timely manner, preferable within 48 hours.
• Submit referral with authorization as required.
• Proactively follow up with service providers to ensure patients are scheduled and document information in patients' chart.
• Developed and implemented effective strategies to increase referral sources

In charge of Workers comp RFA's and POS

• Verify insurance authorizations and denials.
• Scan, rename, upload request for authorizations into patient's chart.
• Fax 50 to 60 to appeals to insurance and attorneys.
• Mail out QME appointment notices to patient, insurance and attorneys.
• Maintained consistent follow-up on status of prior authorization requests.
• Submitted for prior authorization with required documentation to appropriate funding source.
• Reviewed authorizations from payer to determine approved or denied items.

• Answer phones
• Check patients in and out.
• Room patients
• Take vital signs, prepare patient for provider
• Schedule patients for follow up.

• Front Office: answer phone calls, schedule appointments, scanning, renaming, uploading, print out super bills, faxing, and appointment reminder calls.
• Back Office: room patients, maintain exam rooms cleaned and fully stocked, and get patient's vitals.
• Fairfield & Sacramento Office: supply and medicine inventory, room patients, check patients in and out, collect co-pays, schedule follow ups, get medications ready for providers to dispense.
• Sanitized, restocked, and organized exam rooms and medical equipment.
• Assisted with routine checks and diagnostic testing by collecting and processing specimens.
• Answered telephone calls to offer office information, answer questions, and direct calls to staff.