Nicole Jacobs

Assisted clinical department by communicating with doctors and patients regarding rejected claims for prescription medications. Contacted over 100 doctors offices per day to collect documents including chart notes, labs,and medical screenings in an effort to get approvals for prescription medication claims. Spoke to patients regarding reasoning for rejected claims. Processed approved claims in system to get claims to a paid status. Contacted pharmacy's to reprocess,rejected claims upon getting claim to approved and paid status. Ran test claims in order to verify that a claim will pay. Assisted members with complaints regarding rejected claims.

Assisted clinical department by communicating with doctors and patients regarding rejected claims for prescription medications. Contacted over 100 doctors offices per day to collect documents including chart notes, labs,and medical screenings in an effort to get approvals for prescription medication claims. Spoke to patients regarding reasoning for rejected claims. Processed approved claims in system to get claims to a paid status. Contacted pharmacy's to reprocess,rejected claims upon getting claim to approved and paid status. Ran test claims in order to verify that a claim will pay. Assisted members with complaints regarding rejected claims.