Kenneth Augustine Email & Phone Number

Orlando, Fl, Us

Provide primary support and resolution for escalated issues and challenging casesPerform quality monitoring and auditsapply business knowledge to existing data products/reports to

Responsible for verifying patient eligibility, coordinating benefits, running test claims, and determining patient coverage/ financial responsibility for PBM, Medicare B & D billing, IPA Claims and Major MedicalExperience working with J-Codes and diagnosis codesInvestigates and facilitates prior authorization and any other claim rejections.Makes outbound calls to patients or physicians’ offices to obtain additional information needed to process requests;Manages inbound calls on the insurance line from patients, clients, physicians, practitioners, and clinics..Handles stat escalation emails

Orlando, Florida, United States

Answers and appropriately directs inbound calls.Communicate program information to patients, providers, dialysis centers, and other caregivers telephonically.Performs general administrative support to department.Collects, verifies, enters, and maintains data/medical record information in medical management database

Orlando, Florida, United States

Receive inbound calls and retain information from callers in order to assist patient requestsPerform prescription refills for patientsVerify patient insurance information, run insurance claims and submitting prior authorizations request

Associate Of Science - As, Information Technology

Pharmacy Technician Certification, Pharmacy, 3.2

Bachelor'S Degree, Audio Production