experienced insurance verification. prior authorization specialist
My expertise within the medical field is Insurance benefit verification, claims inquiry, prior authorization, and providing excellent customer service. I can identify a plan by just looking at the prefix and determining the correct phone number for the benefits/ pre-cert dept without having to spend hours on the phone being transferred. I can identify why a claim was denied and correct the issue in a timely manner. I can assist with denials and insurance follow-up.
Over the years, I have gained a tremendous amount of experience helping patients understand the financial cost of their surgery or other services they are receiving, updating payer and guarantor information to avoid reimbursement issues.
experienced with: EPIC, Availity, Mediassets, Mckesson, Eclinical Works, Office Ally, Rumba/ HDX. I can learn other systems quickly.
Work Terms
Availability: 10-20 hours a week