Review and process prior authorization requests received from healthcare providers.Verify that all required documentation and information are complete and accurate.Prepare and submit authorization requests to insurance companies on time.Interact with healthcare providers, insurance companies, and patients to gather necessary information and resolve authorization-related issues.Communicate authorization status, requirements, and updates to relevant stakeholders.Respond to inquiries and guide the authorization process.Stay informed about insurance policies, guidelines, and regulatory changes.Ensure strict adherence to all relevant compliance standards, including HIPAA and other privacy regulations.Maintain detailed records of all authorization requests, approvals, and denials.Update patient records and billing systems with authorization information.Generate reports and documentation as needed for internal and external purposes.Conduct thorough reviews of authorization requests to minimize errors and discrepancies.Collaborate with team members to identify and resolve issues related to denied authorizations.Continuously seek opportunities to improve authorization processes.Work closely with other members of the prior authorization team to ensure efficient workflow and knowledge sharing.Assist team members as needed to meet departmental goals and deadlines.

Responsible for back office dutiesVerify InsuranceDiagnostic Prior AuthorizationReferral Prior AuthorizationMedication Prior AuthorizationSchedule In House ProceduresVerified and scheduled patient appointmentsAnswered a high volume of phone callsEscorted patients to exam roomsResponsible for Front Office dutiesCheck in and Check OutReceiving and Posting Co Pays and Account BalancesAdding Documents and Records to patient chartsFamiliar with eClinicalWorks EMRProcessed All Release of Records Request

Operate communication systems, such as telephone, switchboard, intercom, two-way radio  Answer incoming calls, greeting callers, providing information, transferring calls and/or taking messages as necessary  Route emergency calls appropriately.  Page individuals to inform them of telephone calls, using paging and interoffice communication equipment.  Relay and route written and verbal messages.  Perform clerical duties, such as typing, proofreading  Monitor alarm systems in order to ensure that secure conditions are maintained.  Contact security staff members when necessary, using radio-telephones.  Keep records of calls placed and charges incurred.  Record messages, suggesting rewording for clarity and conciseness.  Stamp messages with time and date, and file them appropriately.  Answer simple questions about clients' businesses, using reference files

Responsibilities  Provide guest assistance.  Clean and service a minimum of 17 rooms a day.  Deap clean rooms on a daily basis.  Clean and maintain balconies.  Assist in picking up extra rooms when requested.  Complete report and return keys to supervisors daily  Notify manager concerning need for repairs    Accomplishments Received several star performers for outstanding customer service, staying late to help other coworkers finish, high quality in rooms, assisting supervisors with any and all requests.    Skills Used  Time management. Customer service. Dealing with hostile and difficult customers. Handling customers complaints. Keeping a clean workspace.

ResponsibilitiesPicking up and transporting children to and from Supervised Visits with family members.Documenting everything that is said or done during visit.Writing a full report after the visit.Calling to confirm visits with Parents and Foster Parents the day before.Controlling a safe environment for parents and children.Making plenty of time to pick up, transport, and arrive in a timely mannerAccomplishmentsBeing able to help a family reconnect after a hard time. Making sure that children felt comfortable in confiding in me. Skills UsedDriving between Bullhead City, Lake Havasu City, Topock, and KingmanUsing mapsTime management Writing ReportsDealing with stressful situationsDealing with difficult adults and childrenHigh CommunicationSafe work environment

Provide guest assistance. Clean and service a minimum of 17 rooms a day. Deep clean rooms on a daily basis. Clean and maintain balconies. Assist in picking up extra rooms when requested. Complete report and return keys to supervisors dailyNotify manager concerning need for repairs AccomplishmentsReceived several star performers for outstanding customer service, staying late to help other coworkers finish, high quality in rooms, assisting supervisors with any and all requests. Skills UsedTime management. Customer service. Dealing with hostile and difficult customers. Handling customers complaints. Keeping a clean workspace.