Dawn Seitz Email & Phone Number

Lubbock, Tx, Us

I provide exceptional support to patient accounts by researching claim denials, identifying discrepancies, and facilitating resolutions. I also validate and explain inpatient and residential mental health benefits to patients, ensuring they have a clear understanding of their coverage.• Attained 100% quality assurance record in January 2021.• Contributed to seamless patient care by efficiently securing pre-authorizations for necessary treatments through utilization nursing department support.

I processed prior authorizations for insurance companies using payer-specific portals and third-party vendors. I conducted regular follow-ups on pending authorizations to assess their status and determine the necessary actions for approval. Additionally, I maintained effective communication regarding authorization denials with relevant staff members to ensure timely resolution.• Led accuracy and completeness of medical documentation before submission for authorization.• Fostered interdepartmental relationships to enhance cross-functional support for pre-authorization tasks.

United States

I conducted pre-registration and insurance verification processes for inpatient and outpatient services within three to five days prior to service. I ensured that necessary prior authorizations were obtained, facilitating seamless patient care and efficient billing cycles.• Ensured high degree of precision in insurance plan assignments and contributed to financial health of organization.• Successfully completed Medicare Secondary Payer Questionnaires, safeguarding against potential legal issues.

Fort Walton Beach, Florida, United States

I guided patients through financial navigation by educating them about available payment options and assistance programs. I also assessed, processed, and verified patient and insurance documentation to ensure financial integrity and compliance.• Negotiated tailored payment plans to meet individual patient needs and financial situations.• Sustained integrity in patient account management, including updating account balances and processing adjustments.

Cna, Nursing Science

Medical/Clinical Assistant