Tabrisha Washington

• Coordinated and dispatched medical equipment promptly, ensuring accurate documentation throughout process.
• Verified insurance coverage for Medicare, Medicaid, and private plans to uphold compliance standards.
• Ensured adherence to regulatory documentation standards, including HIPAA guidelines.
• Communicated effectively with physicians and clinical staff to clarify referrals and work orders.

Conducted benefits and eligibility verifications for patients to ensure accurate processing.

Facilitated inbound and outbound calls to resolve patient inquiries efficiently.

Addressed patient cost share inquiries, detailing deductible and coinsurance information.

Uploaded authorizations and referrals into patient charts for improved record accuracy.

Requested OV authorizations for injections and surgeries for Florida and Georgia providers.

Researched denied Medicare Part B claims and addressed inquiries from medical provider community.

Educated medical providers on understanding claim denials using CMS.gov resources.

Instructed medical providers on completing CMS-1500 claim forms accurately.

• Simultaneously utilized multiple systems to investigate unique issues and document inquiry types.

• Verified alarms through necessary outgoing calls and dispatched appropriate authorities promptly.
• Scheduled service technicians according to client convenience for complex issues.
• Documented alarm handling procedures accurately within alarm screens.

Provided clear alarm reset instructions during outbound calls and inbound callbacks.

Served as a resource for team members by leveraging comprehensive knowledge of responsibilities and goals.

Identified individual development plans and training needs to enhance team performance.