
Knowledge of Healthcare processes and insurance protocols.
Excels in detailed documentation and communication skills.
Dedicated professional with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision.
Professional in medical records management with substantial experience in handling sensitive patient information and ensuring compliance with privacy regulations. Skilled in data retrieval, electronic health records systems, and maintaining accurate documentation. Strong focus on team collaboration and adaptability to changing needs, consistently achieving results in high-pressure environments. Reliable, efficient, and prepared to make significant impact in streamlining medical records processes.
Review chart documentation to ensure the patient meets medical policy guidelines.
Prioritize incoming authorization requests according to urgency.
Obtain authorization via payor website or by phone for surgical cases before services are rendered.
Maintain individual payor files to include up to date requirements needed to successfully obtain authorizations.
Confirm the accuracy of CPT and ICD10 diagnosis in the procedure order.
Contact patients to discuss authorization status.
Clear and friendly customer service to patients and insurance companies.
Maintained a professional office environment through effective organization, inventory management, and supply ordering processes.
Provided clerical support to company employees by copying, faxing, and filing documents
Updated records with current immunizations and medical information for effective business record keeping.
Answer main phone line to department. Make appointments on office calendar for assessments,Titers,Tb tests.
Prepared reports highlighting number of employees seen and administered immunizations and injuries.
Utilize Meditech system to record labs and titers for employees of the health system.
Managed daily tasks constantly and sought out opportunities to go beyond requirements and support business targets.
Provided quality clerical support through data entry,document management,email correspondence, and overseeing the operation of office equipment.
Maintained computer databases and dispatch logs with with daily data from elevator failures and preventative maintenance fleet vehicles.
Utilize Meditech system to process purchase orders for the department.
Scheduled and dispatched service crews to handle service and repair needs.
Managed the shuttle bus driver.
Interact with the general public,employees,physicians and contractors.
Prior authorization
Strong communication skills/ Customer Service
HIPAA compliance awareness
Organizational growth
Office assisting (scanning,faxing, and copying)
EMR systems
Familiar with medical terminology
Familiar with EOB's
Data Entry
Insurance Data and medical billing
Familiar with Office (Word,Excel, and Powerpoint)
Patient confidentiality adherence