Michele Janeau Major Email & Phone Number

Allen, TX, US

Allen, Texas, United States

OUR MISSIONVMKF is committed to providing fair and compassionate care, within the scope of professional abilities, to ensure that every patient’s voice is heard and both the un/underinsured will have access to necessary healthcare.

This position is the primary point of contact for customers and facilities inquiring about hospitalization. The Pre-Authorization/Pre-Certification Specialist is solely responsible for ensuring completion of pre-authorization and pre-certifications for hospitalization visits. Duties include maintaining requests, replying to facilities and regular.

This position is responsible for helping the patients navigate through the healthcare system. As a Case Manager Supervisor, my daily job duties include assigning cases to the case managers assessing, planning, implementing, monitoring, and evaluating actions required to meet the client’s health and human services needed. From April of 2018 to August of.

This position is responsible for following up on outstanding accounts receivable accounts. This includes all payers, self-pay, and resolution of medical claims denials. Also responsible for handling all correspondence related to an insurance or patient on accounts and identify issues or changes to achieve client profitability. Ability to research and.

Lead and train customer service associates on updated and new products available. Review calls and workbench tasks in notation system for quality and accuracy from incoming phone calls. Resolved escalated calls and issues from patients concerning claims and help patients to understand how their plan works. Schedule and hold department meetings monthly, run.

Review claims information and accurately enter data from the claim form into the system by following specific guidelines and procedures; ensured claim accuracy of information electronically entered the adjudication system for payment. Processed claims received and accurately coded and mail explanation of benefits and other correspondence to patients and.