Rebecca Sorrells

Obtain insurance benefits for producers at center of specialty surgery of Of Austin and office visits for Capital Pain Institute.

• Providing cost amount with patient’s insurance and self-pay rates for upcoming injections in the office visit or surgery center.

• Verifying benefits and eligibility prior to procedure.

• Speaking to patients With the cost details prior to procedure.

• checking emails / Voicemails 3 times a day and returning any calls.

• Answer questions and concerns on Teams messages / Te’s estimates to the provider and staff members.

• Updating demographics and inputting notes for any protocol changes in the patient’s chart .

• Updated Phreesia /Ecw to reflect the cost of procedure .

• Checking for procedures add on’s (hourly )

• Answering the telephone, Answer Questions, directs callers as appropriate and resolved patient problems following established procedures.

• Providing estimates and contracted rate for an exams depending on the patient insurance.

• Provided information regarding particular exams and procedures.

• verification patient identification, retrieves and processes current patient insurance information and checks for exams authorization. Under general supervision. Responsible for obtaining and validation prior authorization for scheduled service as dictated by payer guidelines prior to the patient appointment time.

• Communicated directly with the patients and referring physicians to obtain appropriate insurance and clinical information required to solicit authorization from the designated utilization management company.

• Demonstrated strong problem-solving skills by addressing unexpected situations or conflicts arising during daily duties effectively.
• Adapted swiftly to changing weather conditions, adjusting guarding strategies accordingly to maintain optimal student protection at all times.
• Monitored pedestrian activity around construction sites or detours near the school facility, ensuring safe passage for all students.
• Maintained a safe environment for students with consistent enforcement of school zone speed limits and traffic rules.
• Improved overall crossing efficiency by effectively communicating with students, parents, and drivers.
• Assisted special needs students in navigating crosswalks, providing additional support as needed for their safety and mobility requirements.
• Protected safety of students by identifying potential conflicts and working collaboratively with community resource networks to diffuse situations.
• Reported on-campus vehicle infractions to school administration.
• Contacted school principals to report children not adhering to safe crossing protocols or refusing to follow directions.
• Ensured student safety by diligently monitoring crosswalks and traffic during arrival and dismissal times.

• Handles inquiries and transactions for a single line of business.

• Identifies the customer motive for calling and understanding the customer insurance needs.

• Adding and deleting vehicles, Divers and coverage from existing policies.

• Processes cancellations, renewal , reinstatements,endorsements payments and state federal fillings on progressive systems.

• Advocates for and education on progressives products and service .

• Uses software applications to tracks, gathering information and answers inquiries

•Partners with a coach or supervisor to continually develop skills and improve results.

• stays current on product services and procedure

• Remains flexible in order to better meet the needs of the customer

• Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
• Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
• Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
• Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
• Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
• Assisted in training new team members on company policies and procedures for handling authorization requests.
• Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
• Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
• Prevented delays in care delivery by proactively identifying potential issues during the pre-authorization process and seeking clarification from providers when needed.
• Demonstrated adaptability with changing insurance requirements, maintaining up-to-date knowledge through continuous education efforts.
• Ensured prompt resolution of denied claims through comprehensive analysis of denial reasons and timely submission of necessary documentation for reconsideration or appeal.
• Enhanced departmental efficiency with thorough knowledge of insurance guidelines and medical terminology.
• Developed strong relationships with insurance representatives to expedite approvals and resolve issues promptly.
• Improved patient satisfaction by streamlining authorization processes and ensuring timely responses to inquiries.
• Expedited claim processing by submitting complete and accurate information in accordance with payer requirements.
• Promoted positive customer experiences by addressing concerns or questions related to authorizations in a professional manner.
• Conducted regular audits of authorization records to verify accuracy and adherence to regulatory requirements, minimizing risk of noncompliance.
• Resolved discrepancies with client applications to verify eligibility.
• Engaged wider departments in accurate, timely paperwork completion.
• Processed and certified documents for accuracy and compliance with government regulations.
• Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
• Communicated with people from various cultures and backgrounds on application process.
• Assisted clients with accurate eligibility form, application and document completion.
• Trained staff on current eligibility requirements and policies.
• Established databases to track, analyze and automate eligibility application processes.
• Managed account data and verified information with clients, past creditors and other involved parties.
• Kept records of customers' charges and payments.

•Configure CD’s and create audio conference

• Reorganized books and updated stocks with current versions

• processed shipping and handing

• Inserted records and catalog into database

•Assisted with pulling covers and spines

• Assisted with customer support and administrative functions.

• Partners with a coach or supervisor and administrative functions

• Stays current on products services and procedures

• Remains flexible in order to better meet the needs of the customers

• Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
• Written down the maintain records of services performed and condition of patients.
• Purchased, prepared, and served food for patients .
• Visited households to provide daily health care to patients.
• Entertained patients by reading aloud, playing cards and engaging in conversation.
• Administered prescribed oral medications under written direction of physician or as directed by home care nurse.
• Accompanied ambulatory patients outside home as guide and companion.
• Assisted patients in dressing, bathing and grooming.
• Furthered skills by actively taking part in employee training and taking classes to improve skills.
• Cared for elderly, convalescent and handicapped patients in patient's home.
• Massaged patients and applied preparations and treatments such as liniment or alcohol rubs and heat-lamp stimulation.
• Developed trusting relationships with both patients and families through regular communication and support.
• Assisted patients in and out of bed, automobiles and wheelchairs to bring patient to lavatory and up and down stairs.
• Adapted care strategies based on each patient''s unique circumstances or conditions using critical thinking skills.
• Managed household chores including laundry and light cleaning duties while maintaining a safe space for the patient''s recovery process.
• Educated family members on best practices in caring for their loved ones at home.
• Facilitated patient mobility by safely transferring them between beds, wheelchairs, and other areas within the home.
• Assisted with physical therapy exercises as directed by healthcare providers, supporting patient rehabilitation efforts.
• Documented daily observations and progress reports on the client''s condition or behavior changes for timely communication with healthcare professionals.
• Maintained a clean and organized living environment for patients, reducing potential health hazards.
• Prepared nutritious meals according to dietary restrictions, promoting optimal health for patients.
• Demonstrated cultural sensitivity when working with diverse populations in various home settings.
• Maintained safe, secure and healthy patient environment by following asepsis standards and procedures, maintaining security precautions and following prescribed dietary requirements and nutrition standards.
• Assisted patients with personal hygiene tasks, ensuring cleanliness and promoting overall wellbeing.
• Monitored vital signs regularly, recognizing changes in patient condition and reporting concerns to medical professionals promptly.
• Ensured timely transportation of clients to appointments or social engagements outside the home setting.
• Continuously improved caregiving skills through professional development and training opportunities.
• Collaborated with healthcare providers to develop customized care plans tailored to individual patient needs.
• Enabled patients to stay in homes by monitoring and recording patient condition, providing support and personal services and teaching families.
• Maintained client confidentiality by adhering strictly to HIPAA guidelines during all interactions.
• Addressed emergency situations calmly and effectively, applying first aid measures when needed.
• Provided essential companionship to patients, fostering emotional wellbeing through engaging conversations and activities.
• Improved patient comfort by providing compassionate and attentive care to their daily needs.
• Administered medications as prescribed by medical professionals, ensuring proper dosage and adherence to schedules.
• Performed laundry, grocery shopping and other light housekeeping duties as instructed by client.
• Provided mobility assistance such as walking and regular exercising.
• Assisted patients with dressing, grooming and feeding needs, helping to overcome, and adapt to mobility restrictions.
• Assisted disabled clients to support independence and well-being.
• Traveled to clients' homes to complete healthcare services and promote continuity of care.
• Provided transportation and appointments management.
• Completed entries in log books, journals, and care plans to accurately document and report patient progress.
• Followed nutritional plans to prepare optimal meals.
• Monitored client health by performing routine pulse, temperature and blood pressure checks.
• Encouraged patients to participate in safe physical activity to help boost mood and improve overall wellness.
• Developed individual care plans for clients based on specific needs.
• Supported daily hygiene needs of patients by assisting with bathing, dressing, dental care and personal grooming.
• Assisted with daily living activities, running errands, and household chores.
• Returned back on 5/5/2010 Ended 05/11/2011