Cassandra Spears Email and Phone Number

•Reviews, researches, and processes claims in accordance with contracts and policies to determine the extent of liability and entitlement, as well as to adjudicate claims as appropriate •Coding and processing claim forms; reviewing claims for complete information, correcting and completing forms as needed•Accessing information and translating data into information acceptable to the claims processing system, and preparing claims for a return to provider/subscriber if additional information is needed.•Maintaining all appropriate claims files and following up on suspended claims•Assisting, identifying, researching and resolving coordination of benefits, subrogation, and general inquiry issues, then communicating the results; and preparing formal history reviews.

Obtains insurance, medical and demographic data to register, pre-register, admit or pre-admit patients to the center. •Verifies insurance coverage and benefit levels with various third party payers. •Assists patients without medical insurance coverage in completing medical assistance applications and/or making payment arrangements and cash collections. •Develops liaison relationship between patient and hospital by answering patients’ questions regarding hospital policies and billing procedures and by obtaining necessary information to efficiently admit and bill for hospital services rendered.•Assists patients in completing necessary forms and obtains patient signature as needed. Collects referrals and authorizations; secures telephone referral if necessary. Completes telephone registrations.

•Obtains insurance, medical and demographic data to register, pre-register, admit or pre-admit patients to the center. •Verifies insurance coverage and benefit levels with various third party payers. •Assists patients without medical insurance coverage in completing medical assistance applications and/or making payment arrangements and cash collections. •Develops liaison relationship between patient and hospital by answering patients’ questions regarding hospital policies and billing procedures and by obtaining necessary information to efficiently admit and bill for hospital services rendered. •Assists patients in completing necessary forms and obtains patient signature as needed. Collects referrals and authorizations; secures telephone referral if necessary. Completes telephone registrations.

•Presents strong communication, time management, organization, and customer service skills •Answers telephones courteously , receives and relays messages effectively•Charge Entry/Audit / Follow-up for all procedures performed at the unit/site•Verifies insurance benefits ,referral and obtain authorization for diagnostic procedures•Considers patient rights in performance of job duties and responsibilities•Assess patient’s financial status and coverage provisions prior to scheduling procedures and routinely communicates with manager regarding collection concerns, questionable coverage and benefits•Admits patients for procedures and maintain contracts between patients and hospital

•Performed exam pre-screening•Completed referral forms and follow-up paperwork •Organized supplies and pharmaceuticals needed by doctors•Maintained a professional atmosphere and appearance of doctor’s exam as well as pre-test room•Participated in regularly scheduled mandatory communication meetings to stay informed of changes in the store and corporate policies•Answered multiple telephone calls, provide information to callers, and to take and relay messages•Greeted all patients entering the office

•Provided guidance to students in order to improve grades•Taught concepts to students in the subjects of chemistry, Spanish, history, and biology •Promoted the tutoring program through fliers and social events •Obtained funds for supplies and better working equipment