Kathryn Dodge Email & Phone Number

Detroit, Mi, Us

Royal Oak, Michigan, United States

• Optimizes the reimbursement of high cost medications (oral, intramuscular, intravenous, etc) verifying insurance coverage prior to medications being administered or dispensed. • Maintained a 98% approval rate for medical and pharmacy prior authorizations.• Kept up-to-date with the latest prior authorization guidelines and medical/pharmacy policies.• Researched alternative paths to obtain approvals, ensuring efficient processing.• Managed medication ordering from specialty… Show more • Optimizes the reimbursement of high cost medications (oral, intramuscular, intravenous, etc) verifying insurance coverage prior to medications being administered or dispensed. • Maintained a 98% approval rate for medical and pharmacy prior authorizations.• Kept up-to-date with the latest prior authorization guidelines and medical/pharmacy policies.• Researched alternative paths to obtain approvals, ensuring efficient processing.• Managed medication ordering from specialty pharmacies.• Claim status and denial follow up; ensuring claims are processed accurately and timely.• Effectively communicated benefits and potential out-of-pocket costs to patients.• Collected outstanding balances from patients and set up payment plans.• Pursued medication and co-pay assistance for uninsured or under-insured individuals.•Managing and supporting offshore team with authorizations questions. Show less

United States

• Optimizes the reimbursement of high cost medications (oral, intramuscular, intravenous, etc) verifying insurance coverage prior to medications being administered or dispensed. • Responsible for medical and pharmacy prior authorizations with a 98% approval rate.• Well informed with the latest prior authorization guidelines and medical/pharmacies policies.• Researching alternatives paths to obtain approvals.• Ordering medication from the specialty pharmacy.• Claim… Show more • Optimizes the reimbursement of high cost medications (oral, intramuscular, intravenous, etc) verifying insurance coverage prior to medications being administered or dispensed. • Responsible for medical and pharmacy prior authorizations with a 98% approval rate.• Well informed with the latest prior authorization guidelines and medical/pharmacies policies.• Researching alternatives paths to obtain approvals.• Ordering medication from the specialty pharmacy.• Claim status and denial follow up; ensuring claims are processed accurately and timely.• Explain benefits and potential out of pocket costs to patients in layman’s terms.• Contacts patients to collect balance from a date of service or refer to set up a payment plan.• Pursues medication and co-pay assistance for uninsured or under-insured individuals who receive medication at the Michigan Institute of Urology.•Managing and supporting offshore team with authorizations questions. Show less

Saint Clair Shores, Mi, United States

• Collaborated with the offshore team to provide support and answer authorization questions. • Optimizes the reimbursement of high cost medications (oral, intramuscular, intravenous, etc) verifying insurance coverage prior to medications being administered or dispensed. • Responsible for medical and pharmacy prior authorizations with a 98% approval rate.• Well informed with the latest prior authorization guidelines and medical/pharmacies… Show more • Collaborated with the offshore team to provide support and answer authorization questions. • Optimizes the reimbursement of high cost medications (oral, intramuscular, intravenous, etc) verifying insurance coverage prior to medications being administered or dispensed. • Responsible for medical and pharmacy prior authorizations with a 98% approval rate.• Well informed with the latest prior authorization guidelines and medical/pharmacies policies.• Researching alternatives paths to obtain approvals.• Ordering medication from the specialty pharmacy.• Claim status and denial follow up; ensuring claims are processed accurately and timely.• Explain benefits and potential out of pocket costs to patients in layman’s terms.• Contacts patients to collect balance from a date of service or refer to set up a payment plan.• Pursues medication and co-pay assistance for uninsured or under-insured individuals who receive medication at the Michigan Institute of Urology. Show less

Greater Detroit Area

• Optimizes the reimbursement of high cost medications (oral, intramuscular, intravenous, etc) verifying insurance coverage prior to medications being administered or dispensed. • Responsible for medical and pharmacy prior authorizations with a 98% approval rate.• Well informed with the latest prior authorization guidelines and medical/pharmacies policies.• Researching alternatives paths to obtain approvals.• Ordering medication from the specialty… Show more • Optimizes the reimbursement of high cost medications (oral, intramuscular, intravenous, etc) verifying insurance coverage prior to medications being administered or dispensed. • Responsible for medical and pharmacy prior authorizations with a 98% approval rate.• Well informed with the latest prior authorization guidelines and medical/pharmacies policies.• Researching alternatives paths to obtain approvals.• Ordering medication from the specialty pharmacy.• Claim status and denial follow up; ensuring claims are processed accurately and timely.• Explain benefits and potential out of pocket costs to patients in layman’s terms.• Contacts patients to collect balance from a date of service or refer to set up a payment plan.• Pursues medication and co-pay assistance for uninsured or under-insured individuals Show less

Greater Detroit Area

• Organized and informed of new insurance policies• Extensive Medicare, Medicaid & commercial insurance verification experience• Maintained and updated insurance information for patient accounts.• Coordinated patient data collation with various external referral sources.• Investigated and resolved queries and complaints pertaining to insurance verification requests.

Greater Detroit Area

• Greeted and registered patients.• Insurance verification• Referral Coordinator• Checking in and out patients• Scheduling appointments• Collecting copays and high balances