REGINA KYALO

Register patients across service lines while verifying insurance and obtaining authorizations.

• Secure financial arrangements and payments, performing cashiering functions.

• Resolve registration errors and manage pre-bill edits.

• Planning, controlling, organizing and directing the day-to-day operations and activities of the physician affiliate office or physician department in conjunction with Practice Manager and/or Director of Practice Operations
• Answering inbound phone calls to the Referral Center in a polite and professional manner
• Answering, accepting, and completing in-bound tasks of referring providers who need to find the next level of care for their patient
• Respond to incoming calls from members on issues related to benefit eligibility questions and prescription status inquiries
• Guide and educate callers on their prescription benefit, use of plan, formulary, status of orders and claims or inquiries
• Identify issues and communicate solutions and steps to customer, pharmacies and physicians with prescription orders
• Assist members with refilling their prescriptions and payments issues

• Respond to incoming calls from members on issues related to benefit eligibility questions and prescription status inquiries
• Guide and educate callers on their prescription benefit, use of plan, formulary, status of orders and claims or inquiries
• Identify issues and communicate solutions and steps to customer, pharmacies and physicians with prescription orders
• Assist members with refilling their prescriptions and payments issues