Rebecca Venetto

• Referral Processing:Handling the complete referral process, from initial request to scheduling and follow-up.
• Patient Registration:Greeting patients, collecting and verifying patient information (demographics, insurance details), and updating patient records.
• Insurance Verification:Confirming patient insurance coverage, verifying benefits, and processing prior authorizations as needed.
• Appointment Scheduling:Scheduling, rescheduling, and managing appointments, including coordinating with physicians' schedules and availability.
• Payment Processing:Collecting co-pays, co-insurance, and outstanding balances, issuing receipts, and managing daily deposits.
• Medical Records:Maintaining, filing, scanning, and preparing medical records as needed.
• Communication:Answering phones, responding to patient inquiries, and providing information about appointments, procedures, and benefits.
• General Office Duties:Performing various administrative tasks to support the smooth operation of the practice, such as managing correspondence, maintaining a tidy reception area, and ordering supplies.

Customer Service

Representative - National Remote

Primary Responsibilities:

Answer 50-70 incoming phone calls per day from members pharmacist and medical office , Coordinated PBM side as well,and identify the type of assistance needed.

Will be taking calls to verify benefit coverage, prior authorization approval, checking on status of prior authorization and educating members on appeal option.

Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems.

Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues.

• Self-motivated, with a strong sense of personal responsibility.

Patient Interaction:

Greeting patients, providing a positive first impression, and ensuring a welcoming environment.

Appointment Management:

Scheduling appointments, confirming appointments, and managing patient flow.

Insurance Verification:

Verifying patient insurance information, collecting co-pays and co-insurance, and handling outstanding balances.

Medical Records:

Maintaining and updating patient records, processing requests for medical records, and ensuring proper documentation.

Clerical Duties:

Answering phones, managing correspondence, and performing

Clerical Duties:

Answering phones, managing correspondence, and performing other administrative tasks.

Customer Service:

• Providing excellent customer service to patients and addressing their inquiries and concerns.

• Answered phone calls through a multi-line system in a heavy call volume setting
• Aided patients with scheduling, payments, record management, and chart updates during check in and check out.
• Trained new hires for various locations in both check-in and out
• Added and updated patients' insurance plans as needed
• Collected payments for office visits and procedures
• Created end-of-day batches to submit for bank pickup

• Scheduled surgery for four Doctors across several hospitals and ambulatory surgical centers.
• Completed surgical booking sheets along with the coding.
• Retrieved all surgical authorizations and referrals through all significant insurance sites
• Obtained benefits as it applies to surgical costs
• Communicating with patients about their cost of surgery via phone or email
• Scheduled peer-to-peer reviews if medically necessary
• Collected surgical payments prior to surgery

• Verifying patients' benefits through all significant insurance sites
• Retrieved authorizations and referrals for multiple accounts
• Communicate with various family, internal, and general primary facilities to ensure authorization requests have been received.
• Schedule patients for immunotherapy, patch testings, and follow-up appointments with the provider
• Assist patients and staff via phone and email.

• Created and submitted booking sheets to hospitals or surgery centers
• Obtained various medical clearances and pre-op labs
• Requested and verified surgical authorizations through Availity, gateway, and all significant sites
• Scheduled peer-to-peers
• Arranged home health services for patients
• Answered phone calls through a multi-line system in a heavy call volume setting
• Scheduled follow up for all existing patients and registered new patients
• Posted payments and insurance checks, processed end of day reports

• Maintained all front office relations under four different physicians
• Assisted with front desk reception, verifications, and referrals when necessary
• Posted payments, processed end of day reports, run checks, communicate with banks
• Handled ordering office supplies
• Ensuring HIPAA compliance with all the necessary material and safety data materials being up-to-date
• Trained all new staff on policies and procedures