Iris Owens Email & Phone Number

Raleigh, North Carolina, United States

Cary, North Carolina, United States

Assists in the verification of patients' coverage by third party payer by utilizing batch eligibility through Instated or online payer websites. Contributes to and performs according to the progress and development of the practices adopted Compliance Program and performs according to established compliance policies and procedures. Documents prequalification for third party payer before date of scheduled admission. Faxes or mails appropriate physician notes or labs to relevant referral. Follows all federal, state and regulatory guidelines to maintain compliance. Keep list and/or WQ of all patients and their referrals updated. Schedules referral appointments and procedures in coordination with patient's insurance network; completes a Referral Form for each patient. Obtains pre-authorization or pre-certification as appropriate for all procedures and medications as determined by the patient's insurance network. Finally, schedule outpatient surgeries and obtain prior authorization and verify insurance benefits.