Carla Macpherson Email & Phone Number

Top-Performing Professional with extensive experience serving as liaison between Admitting, Physicians, Nursing and Administration staff, patients, and Insurance Companies to ensure timely, clinically appropriate placement of patients according to hospital policies and guidelines. Communicates pertinent information to both internal and referring patient care units to expedite patient transport or treatment/procedures. Demonstrates specialized knowledge, judgment, and skills to ensure excellent patient experience. Strong communication and problem-solving skills. Demonstrates unparalleled integrity managing sensitive patient information with strict confidentiality. Resourceful team player, highly-adaptable, and quickly masters emerging technologies, systems, and processes.

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  Financial Access Liaison

  Massachusetts General Hospital

  Jan 1998 - Apr 2000 - Boston, Massachusetts, United States

  -Spearheaded process of obtaining insurance authorizations for patients against critical timelines-Communicated with insurance companies to quickly provide medical coverage authorization for patients regarding hospital admissions, same day surgery, and other procedures-Expedited patient approval information to physicians, case managers, and third party payers-Input appropriate insurance approval codes into hospital system to ensure accurate billing-Worked closely with Case Manager to submit letters of medical necessity to insurance providers to appeal denied coverage-Exceeded department goals for obtaining patient coverage approvals within specified time constraints-Resolved patient complaints and provided mutually beneficial solutions

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  Northeastern University

  Communications/Marketing