Louis Cameron, Cpc Email & Phone Number

Quincy, Ma

Coordinate and monitor the activities of the Precertification Department to ensure productivity metrics are meet daily.Develop and train new and existing staff in all departmental policies, procedures and workflows.Ensure that all Precertification Coordinators work collaboratively and confidentially with support staff, hospital departments and the insurance carriers to obtain required Prior Authorizations for scheduled procedures.Monitor and utilize automated systems to… Show more Coordinate and monitor the activities of the Precertification Department to ensure productivity metrics are meet daily.Develop and train new and existing staff in all departmental policies, procedures and workflows.Ensure that all Precertification Coordinators work collaboratively and confidentially with support staff, hospital departments and the insurance carriers to obtain required Prior Authorizations for scheduled procedures.Monitor and utilize automated systems to expedite processes, also to identify any lag time and develop more efficient work flows.Maintain up to date information with the health plans that will enable the Precertification Coordinators to process to work quickly and efficiently.Ensures all information related to approvals and denials are electronically documented in EPIC System.Communicates any incomplete or denied Prior Authorization information to the clinical areas.Work closely with the physicians and their support staff in order to ensure receipt of all clinical information necessary to obtain the Prior Authorization is available. Monitor and collaborate with Referral Unit Manager to ensure the referral requests submitted are obtained, documented and the Precertification Department is notified.Maintain strict confidentiality regarding all patient matters. Secure confidential information throughout the workday.Responds to all inquiries in a timely, professional mannerContributes solutions to problems issues or concerns and suggests any improvements to current departmental workflows. Participates in departmental activities such as weekly manager debriefings, all staff meetings, and annual employee reviews. Show less

Quincy, Ma

Work collaboratively with health insurance carriers via online portals, phone, or fax to verify/confirm eligibility for all patients of the Radiology Department at Massachusetts Eye & Ear.Work collaboratively and confidentially with support staff as well as with other hospital departments and the insurance carriers/authorizing agencies to obtain required Pre-certification for all patients of the Radiology Department at Massachusetts Eye & Ear.Provide training and education in… Show more Work collaboratively with health insurance carriers via online portals, phone, or fax to verify/confirm eligibility for all patients of the Radiology Department at Massachusetts Eye & Ear.Work collaboratively and confidentially with support staff as well as with other hospital departments and the insurance carriers/authorizing agencies to obtain required Pre-certification for all patients of the Radiology Department at Massachusetts Eye & Ear.Provide training and education in healthcare policies, guidelines and requirements to support staff, other hospital departments, as well as patients of Massachusetts Eye & Ear.Work with senior staff to outline, document and maintain Radiology Pre-certification departmental guidelines. Serves as a resource person for Radiology precertification and interacts with managers within and outside the department to plan, problem solve and facilitate departmental operations. Provide training to existing and new staff on Radiology policies, guidelines and precertification requirements. Orientate new employees on Radiology Pre-certification and insurance verification and other procedures within the Pre-certification and insurance verification system.Assisted with the conversion and implementation of Partners eCare EPIC-based system for the Radiology department at Massachusetts Eye & Ear. Work with senior staff to identify and resolve issues that may arise within the Radiology work queues in the PeC EPIC system. Perform other job functions as required under the role of Surgical Precertification Coordinator at Massachusetts Eye & Ear. Show less

Quincy, Ma

Work collaboratively with health insurance carriers via online portals, phone, or fax to verify/confirm eligibility for all surgical patients at Massachusetts Eye & Ear. Work collaboratively and confidentially with support staff as well as with other hospital departments and the insurance carriers/authorizing agencies to obtain required pre-certification/approval for scheduled surgical procedures at Massachusetts Eye & Ear.Electronically record all information related to… Show more Work collaboratively with health insurance carriers via online portals, phone, or fax to verify/confirm eligibility for all surgical patients at Massachusetts Eye & Ear. Work collaboratively and confidentially with support staff as well as with other hospital departments and the insurance carriers/authorizing agencies to obtain required pre-certification/approval for scheduled surgical procedures at Massachusetts Eye & Ear.Electronically record all information related to approvals and denials including but not limited to the approval number, the date of the approval and name of the insurance representative contact. Communicate all obtained pre-certification and/or authorization information with Massachusetts Eye & Ear Registration, Admitting, and/or Ancillary Departments.Work closely with the physicians and their support staff in order to obtain the detailed information required to pre-certify a surgery. This includes obtaining complete registration, insurance, and the clinical data necessary for completing the pre-certification/authorization process. Collaborate with support staff in situations where insurance carriers require additional clinical information (clinical notes, letter of medical necessity or physician's orders).Work with Primary Care Physician’s offices to obtain appropriate referrals and authorizations. Confirm this information with insurance carrier prior to the scheduled date.Greet patients and visitors in a polite, prompt and helpful manner. Provide any necessary directions.Maintain strict confidentiality regarding all patient matters. Secure confidential information through the workday. Show less

Greater Boston Area

Provided support to the entire Clinical Support Department.Sorted and distributed all incoming Pre-certification request to the proper Clinical Support Coordinators.Transferred calls to appropriate staff or field representatives. Sorted and distributed postal & inter-office mail daily.Maintained the office daily to be in effective working order. Ordered and maintained inventory of supplies for the Clinical Department.

Greater Boston Area

Answer phones and respond to members and providers requests, providing accurate information and solutions.Provide members and providers with policy and benefit information for multiple health plans.Transfer calls to appropriate staff or field representatives.Identify, research, and resolve any issues as necessary. Complete call logs report, recognize, document and alert the supervisor of trends in customer calls.

United States

Greeted and assisted office visitors. Answered phones and provided general information.Prepared letters, correspondence, reports, requisition forms and official orders in Army style for internal and external organizations. Coordinated and distributed correspondence throughout the department. Organized and maintained files and publications. Set up and maintained filing and publication systems.Ordered office supplies.Scheduled training and leave for unit… Show more Greeted and assisted office visitors. Answered phones and provided general information.Prepared letters, correspondence, reports, requisition forms and official orders in Army style for internal and external organizations. Coordinated and distributed correspondence throughout the department. Organized and maintained files and publications. Set up and maintained filing and publication systems.Ordered office supplies.Scheduled training and leave for unit personnel.Performed multiple duties as assigned. Show less

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