Sandra Arreola

Processed authorization request for Medical Oncology treatment for Radiation Therapy, Infusions , Radiology, and Genetic testing.

Detailed and maintained comprehensive documentation to support authorization process and ensure compliance.

Oncology coding knowledge with ICD-10, CPT and HCPCS codes.

Reviewed patient records and applied ICD-10 , CPT codes and HCPCS codes for medical diagnoses and procedures.

Insurance knowledge: Understanding of Medicare , Medi-cal and commercial insurance.

Effective communication with physicians, nurses, and insurance companies to facilitate rapid approvals.

Verified insurance eligibility and benefits.

Resolved complex insurance issues with accuracy and efficiency.

Obtained necessary insurance information for clinical services and procedures.

Experienced in providing accurate and detailed explanations of coverage and policy details to patients.