•Coordinated access to therapies, conducted appropriate follow up and facilitated access to appropriate support services using CRM database.•Managed case load depending on the parameters of the program.•Provided guidance to physician office staff and patients on how to complete and submit all necessary program applications in a timely manner.•Determined patient’s eligibility and conducted patient enrollment activities.•Performed reimbursement related activities such as benefit… Show more •Coordinated access to therapies, conducted appropriate follow up and facilitated access to appropriate support services using CRM database.•Managed case load depending on the parameters of the program.•Provided guidance to physician office staff and patients on how to complete and submit all necessary program applications in a timely manner.•Determined patient’s eligibility and conducted patient enrollment activities.•Performed reimbursement related activities such as benefit investigations, prior authorizations, appeals, etc.•Provided exceptional customer service to internal and external stakeholders; resolved any stakeholders requests in a timely and accurate manner; escalated complaints accordingly.•Created escalation cases through the service now portal for healthcare providers or field reimbursement managers.•Maintained frequent phone contact with stakeholders, patients, provider representatives, third party customer service representatives and pharmacy staff.•Reported all Adverse Events (AE) disclosed in alignment with training and Standard Operational Procedures (SOP).•Worked on problems of moderate scope where analysis of data requires a review of a variety of factors. •Exercised judgment within defined standard operating procedures to determine appropriate action. Show less

•Adhered to the scheduling policies and procedures. •Conducted special audits, studies, or surveys to development procedures. •Ensured appointments are made from a provider's order. •Coordinated administrative services for veterans, family members, caregivers, and general public, administrative and clinical staff to insure continuity of inpatient and outpatient care. •Completed patient check-in process (in its entirety), including the printing of documentation needed for… Show more •Adhered to the scheduling policies and procedures. •Conducted special audits, studies, or surveys to development procedures. •Ensured appointments are made from a provider's order. •Coordinated administrative services for veterans, family members, caregivers, and general public, administrative and clinical staff to insure continuity of inpatient and outpatient care. •Completed patient check-in process (in its entirety), including the printing of documentation needed for appointment. •Explained the VHA mandate to collect insurance information to Veterans and their families. •Collected, scanned, and updated health insurance information to aid in the revenue collection process. •Completed patient check-out process daily, including completion of Return to Clinic (RTC) orders, creation of recall reminders, consult follow-up, no-showing patient appointments according to local policy, and any other action required to complete appointment process. •Utilized reports to assist in care delivery process. •Resolved difficult problems and diffuses potential dissatisfaction with VA services. Responsible for VHIC Card process, BeneTravel requests assistance, understanding Heritage Medication Program, postage meters, UPS labels, and any other miscellaneous processes. Show less

• Responds to insurance, billing and authorization questions.• Obtain correct authorizations for appropriate payer CPT codes and diagnosis codes.• Obtain necessary personal and financial information for wall patient types including pre-registration and enters data accurately into computer systems.• Communicate effectively with internal and external customers demonstrating the ability to understand patients’ limitation and expectations.• Verify insurances using available tools… Show more • Responds to insurance, billing and authorization questions.• Obtain correct authorizations for appropriate payer CPT codes and diagnosis codes.• Obtain necessary personal and financial information for wall patient types including pre-registration and enters data accurately into computer systems.• Communicate effectively with internal and external customers demonstrating the ability to understand patients’ limitation and expectations.• Verify insurances using available tools such as AHIN, Paynav, Humana, Health Help, NIA, CMS, Epic and any other online resources.• Fax all insurance-specific details to appropriate insurance carriers.• Commutate effectively with supervisory staff when follow are needed on all unresolved inquiries/problems.• Obtain review and input insurance authorizations and referrals prior to patient services Show less

•Epic Registrar/Scheduler•Greeted and assists the public, answer telephones, and/or may coordinate registration.•Completed check in and check out appointments, referrals, consultations, tests and/or procedures.•Scheduled, rescheduled, coordinated and canceld appointments•Collected insurance deductibles, co-payments, and balances on the account.•Verified insurance coverage and responds appropriately to the requirements of third-party payers, assists with coordinating hospital… Show more •Epic Registrar/Scheduler•Greeted and assists the public, answer telephones, and/or may coordinate registration.•Completed check in and check out appointments, referrals, consultations, tests and/or procedures.•Scheduled, rescheduled, coordinated and canceld appointments•Collected insurance deductibles, co-payments, and balances on the account.•Verified insurance coverage and responds appropriately to the requirements of third-party payers, assists with coordinating hospital admissions and surgery scheduling.•Participated in process improvements.•Cross trained in areas such as Hospital Admissions, PET scan, Radiology, Emergency Room, MRI and Breast Center. Show less