Review medical records for compliance and assist with providing UM Management and Medical Policy information to therapists and licensed certified medical professionals regarding Complex Rehab Medical Equipment. Review and respond to medical insurance pends and denials, assist with billing and coding corrections, fax or enter prior authorization requests as needed, and initiate claim appeals for reimbursement as needed. Enter and update customer accounts and make calls for updating patients or answering questions. Also assist with alternative funding and service agreements from waiver case managers.

Ensured clinical guidelines set by medical insurance were met for complex rehab technology before submitting to prior authorization. Worked with patients, medical providers, Assistive Technology Professionals, Seating Techs, and therapists to coordinate accurate medical documents in medical records. Insured record keeping met CMS guidelines while maintaining compliance and privacy.

Call center for durable medical equipment. Duties included: data entry, faxing, filing, copying, scheduling deliveries, troubleshooting, inventory management, insurance verification, prior authorization requests, outbound calls to patients and physicians, privacy laws compliance, and much more.

Data entry, in home parties, online sales, inventory control, sales

Data entry, sales, and inventory control.

Graduated 2011 with honors. Was on the Dean's list most of my terms.