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Click here or scroll down to respond to this candidateCandidate's Name
PHONE NUMBER AVAILABLEEMAIL AVAILABLESKILLSOver 20 years experience administrative support positions, duties include but not limited to:Working in a fast paced environment,That's demanding strong organizational,Technical, and interpersonal skills. Able to multitask effectively, Career oriented and committed to accuracy, functioning well independently, Highly trustworthy,ethical and discreet.EXPERIENCEBaylor Scott and White Home Health Flower Mound, Tx-Insurance and Authorization CoordinatorJune 2017 -March 2023 Ensure every home health referral, admission,denial and conversion note is timely and accurately entered into the database Ensure all deficiencies remain at 0% to eliminate holds. Initiate and obtain authorization (only if no additional clinical is needed) Completes admissions paperwork and reviews all patient forms with the responsible party and secure the necessary signatures. Verify insurance coverage and communication with medical facilities to resolve any discrepancies.United Healthcare, Richardson, TX - Adjustment Representative January 2014 -February 2017 Handle incoming medical claims ensuring a high level of customer service and maximizing productivity. Primary responsibilities: provide expertise or general claim support by Reviewing,researching, investigations, processing and adjusting claims. Authorize appropriate payment or refer claim to negotiator for further review. Previous years of employment available upon request EDUCATIONSchool Name, Location -High School DiplomaThe American Academy in Salt Lake City, UtahBusiness Administration Major FreshmanSummer 2023 Northeastern Oklahoma A&MAdditional Skills General office Skills Professional telephone etiquette MS Word, Excel, Powerpoint Outlook, zoom Insurance Verification Familiar with procedural terminology Medical Records Heavy Data Entry Homecare Homebase Wellsky Numerous insurance portals for authorization requests. Ability to maintain strict confidentiality in accordance with HIPPA regulations and Company Policies.References:Teresa Donovan BSW Leadership -PHONE NUMBER AVAILABLENicole Briscoe BSW Admission Coordinator- PHONE NUMBER AVAILABLE/pre> |
