Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Verification specialist, proficient in determining patient benefits and eligibility, obtaining authorizations for outpatient therapy services, as well as palliative care and pediatric home health for multiple locations across the U.S. I create benefit statements to present to patients and their families. I work closely with commercial insurance plans, as well as Medicare and Medicaid.
Precertification/prior authorization specialist. Worked remotely completing 70-100+ cardiac testing authorizations daily. Kept in close contact with my coworkers, providers, insurance companies, and patients in order to ensure authorizations were obtained. Provided appropriate clinical information when needed. Entered all authorization information in referrals using EPIC system. Updated correct demographic and insurance information. Worked with all commercial, Medicare, and Medicaid plans.
Medical receptionist/traveled to remote locations as well. I would check patients out daily, send prescriptions electronically, run KASPER reports, make sure all consent forms were signed, scheduled appointments as well as hospital out-patient testing. Traveled to Lagrange and Baptist Eastpoint satellite locations twice a week. Worked with several different providers in a very fast-paced setting.