TOYIA ARMSTRONG

Appeals Follow-up Support Specialist obtains service authorization, performs ongoing updates and assists with monitoring authorization compliance for Medicare and Non-Medicare funded services to ensure appropriate authorization and financial reimbursement for provided care. Help support the Utilization Management department functions by performing pertinent research, evaluating and responding to clinical information requests and assisting with the completion of the appeals process and other inquiries in accordance with all established regulatory guidelines and department standards. Prepares appeal summaries and correspondence and documents information for tracking/trending data. Serves as a liaison with Medicare and with non-Medicare funding entities.