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Competencies
Demonstrated experience with Insurance Verification & Prior Authorizations.
Demonstrated experience with Healthcare Claims Processing.
Demonstrated experience with Patient Account Management.
Demonstrated experience with EMR Systems: eClinicalWorks.
Education
Languages
Experience
Prior Authorization Agent
Verified insurance coverage for treatments and procedures for patients., Submitted prior authorization requests to insurance companies, providing necessary documentation., Served as liaison between healthcare providers and insurance representatives to resolve authorization issues.
Insurance Follow-Up Specialist
Managed communications with healthcare insurance claims, ensuring timely resolution of issues., Collaborated with insurance companies to facilitate claims processing and resolve discrepancies., Adapted to client needs by providing tailored solutions and maintaining effective service.
Appointment Setter and Mentor Supervisor
Coordinated appointment scheduling, cancellations, and rescheduling using eClinicalWorks (ECW), ensuring timely access to care for patients experiencing chronic or acute pain., Acted as liaison between physicians, patients, and the client account, providing guidance on pain-related treatments and medication inquiries while ensuring a compassionate, HIPAA-compliant approach., Mentored and supervised a team of schedulers, serving as point of contact for campaign leadership, and supporting training, quality assurance, and performance improvement initiatives.