Reimbursement Specialist
Current- Completes and submits all necessary insurance forms in a timely manner as required by all third party payers for prior authorizations.
- Tracks and follow up on prior authorization request. Provides exceptional customer service to internal and external customers; resolves any customer request in a timely and accurate manner; escalates complaints.
- Maintains frequent phone contact with provider representatives, third party customer service representatives. Reports any reimbursement trends/delays to supervisor and process any necessary insurance/patient.
- Provides all necessary documentation required to expedite prior authorization request. This includes demographic, authorization/referrals, National Provider Identification (NPI) number, and referring physicians.
- Communicates effectively to payers to ensure accurate and timely benefit investigations. Works on problems of moderate scope where analysis of data requires a review of variety of factors, Exercises judgment within.
- Reports all Adverse Events disclosed in alignment with training and Standard Operational Procedures (SOP). Typically receives little instruction on day to day work, general instruction on new assignments. Performs.
Dec 2021 - Present
