Crystal Mathis

• Validated patient information and confirmed insurance benefits for accurate billing processes
• Managed various work queues within Epic to enhance workflow efficiency
• Accessed multiple portals for precise verification of benefit information
• Completed self-pay and insurance estimates with high accuracy
• Identified treatment plans versus therapy plans
• Logged tickets to IS for prompt issue resolution
• Communicated effectively with supervisors and team members as needed
• Documented in referral notes for each account touched
• Checked SLA for authorization necessity/requirements
• Attached estimates to scheduled appointments
• Run RTE when needed
• Create HARs on accounts when applicable
• Add and remove guarantors when applicable
• Attached referrals to scheduled appts
• Terminate and activate coverages
• Determine when a referral is needed versus not needed

**Authorizations - shadowed an authorization team mate and worked in an authorization/verification work queue verifying SLAs for accuracy, completed SLAs as NPR for Medicare/secondary and also documented into referral, accessed portals for authorization processing, successfully processed authorizations through portals and via phone

• Validated patient information and confirmed insurance benefits for accurate billing processes
• Managed various work queues within Epic to enhance workflow efficiency
• Accessed multiple portals for precise verification of benefit information
• Completed self-pay and insurance estimates with high accuracy
• Identified treatment plans versus therapy plans
• Logged tickets to IS for prompt issue resolution
• Communicated effectively with supervisors and team members as needed
• Documented in referral notes for each account touched
• Checked SLA for authorization necessity/requirements
• Attached estimates to scheduled appointments
• Ran RTE when needed
• Create HARs on accounts when applicable
• Verified Workers Compensation authorizations
• Verified inmate accounts for approval of service

• Scheduled appointments for patients in Breast Imaging
• Communicated with patients, team mates, and superiors effectively
• Answered inbound calls and made outbound calls
• Escalated applicable accounts to my superiors when needed
• Navigated through Epic to find documents needed to schedule patient appropriately
• Transcribed orders,Etc.