
A results driven business professional dedicated to achieving goals with a consistent delivery of professionalism. Obtains a versatile and diverse skills set. Adept at multitasking and thriving in a fast-paced environment while collaborating efficiently with a team or working independently.
• Working knowledge of billing processes, third party insurance prior authorization requirements, excellent customer support, and ability to master multiple computer systems.
• Performs all tasks related to determining insurance eligibility, obtains insurance authorizations for diagnostic imaging tests through various pay or websites, portals and telephone systems and documents then in EPIC.
• Direct accountability for authorization related financial outcomes, participates in performance tracking, reconciles denied cases and obtains retro authorizations.
• Possesses a broad knowledge of principle’s practices and procedures with a track record of success.
•. Collaborated with insurance companies when necessary to proactively validate benefits, eligibility, and referral requirements.
•. Accessed work cues and reports and reviewed patient accounts to determine the financial clearance status of specific patient services.
•. Analyzed clinical documentation and support of ordered procedures and submitted pre-certification requests through various insurance fax lines, phone systems, and web portals.
•. Contacted patients, providers, and insurance companies to validate data, collect missing information, and resolve information discrepancies.
Data Analysis
Problem-solving
Adaptability
Critical thinking
Microsoft office
Leadership
Time management
Communication