Patrice Richardson

• Finding specialists and facilities for where patients will receive their healthcare services
• Seeking authorization for referrals/diagnostics from health care companies, as determined by authorization rules
• Performing outbound calls to specialists/facilities to seek verification of information, as determined by program standards
• Receiving inbound calls from patients, outside providers/facilities, and am members (care team, etc)
• Responding to internal messages

• Preformed Cases containing variety of medical situations. (School)
• Certified Hospital Inpatient Coding Training - Certified Hospital Inpatient Coder
• Medical Terminology
• Anatomy
• Maintained compliance with industry standards and regulatory guidelines through continuous education on updates to ICD-10-CM/PCS codes and Coding Clinic guidance
• Enhanced accuracy of medical coding by consistently reviewing and validating medical records for inpatient services

• Follow up with insurance companies regarding appeals/denials/unpaid claims
• Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites
• Fill out Insurance claim Forms
• Identify and resolve issues causing payer payment delays
• Identify and trend claims issues to proactively reduce denials Prepared reports detailing billing actions, flags and other key information

• Sign patient's up on their re-Verification form for medication

DUPIXENT: Asthma

• Verification Medicare Part D Benefits
• All Commercial Insurance,
• Answered fifty to eighty calls per day in an efficient manner
  ● Handled hospital claims,with attached information
  ● Updated and corrected patient information and filed claims
  ● Managed correspondence with patient accounts
  ● Called insurance companies for claims status updates
  ● Collected patient payments Enrollment Form & Prescription,Income from Doctor or Patient.

Answered fifty to eighty calls per day in efficient manner

● Handled hospital claims, UB.04 with attached information

● Updated and corrected patient information and filed claims

● Managed correspondence with patient accounts

● Called insurance companies for claims status updates

● Collected patient payments