Lynnette Walker Email & Phone Number

Vallejo, Ca, Us

Remote

Vallejo, Ca

• Organize, verify, re-verify, input and update Veterans’ insurance files. • Communicates daily with the insurance companies to obtain current insurance information. • Help facilitated the Northern California UR clerk to determine whether or not precertification/authorization is required for the patient’s inpatient and outpatient’s visit.• Primarily concentrate on UR for San Francisco VA.• Works closely with the UR nurses. • On a daily basis work on the scheduled operations list (both inpatient and outpatient), inpatients stays, and outpatient’s visits (which includes diagnostic, PT/OT/ST, and mental health).• Completes the UR Process: obtaining authorizations for inpatient and outpatient stays.• Confirm if the patient’s visit is Service Connected (SC), Combat Vet related, is tort or worker’s comp visit, related to Military Sexual Trauma (MST), Agent Orange (AO), and many others.• When a Veteran has sensitive information I confirm and, when needed, obtain a Release of Information (ROI).• Menu functions used on a daily basis: CPRS, Claims Tracking, TPJI, Buffer, Patient Insurance, Scheduled Operations List, Vista Imaging, Deliver Ex, Gains & Losses, Patient Movement List, Patients Encounters, View Registration, and Mailman.