Medical Coordinator
CurrentAs a medical coordinator, I oversee comprehensive medical services, ensuring benefits coverage, and conducting reviews of patient procedures. My primary focus centers on delivering customer care to agents, providers, and policyholders, while resolving medical issues.Additionally, I specialize in reviewing medical fees to ensure strict adherence to the Usual Customary and Reasonable (UCR) fee schedule and steering guidelines. I am accountable for overseeing and managing complex cases and admissions exceeding $75,000.Maintaining accurate records of case files and patient communications within the system is a crucial part of my responsibilities. I adhere strictly to operational protocols, ensuring unwavering compliance with HIPAA rules and regulations in every interaction.