Nancy Vargas Email & Phone Number

Maitland, Florida, United States

 Followed up weekly with clients progress of educational modules.  Participated/prepared for bi-weekly reviews with CPP Manager Communicated with clients via email, 1:1 scheduled/blind calls. Created weekly Webinar report and send to IT for platform upload. Assisted with setting up for live webinars and supporting CPP Manager during live webinars(i.e., camera, screening questions on Go To Webinar).

United States

 Provided clerical support to the Clinical Preparation team. Facilitated operation for educational live webinars. Maintained clients CARES schedule.  Provided updates to Manager and Nurse instructors for incoming groups. Maintained accurate information in all internal databases.  Preparation of team and multi-departmental meetings Collaborated with other departments at with in the company as necessary.

United States

 Handled front desk duties such as scheduling, collecting copays and answering phones. Reviewed and verified patient coverage of insurance or other agencies and computed the charges to be paid by the patient. Reviewed and researched insurance denials received through insurance remittances, payor correspondence or Clearinghouse rejections in an accurate and timely manner. Created billing standard operating procedures

United States

 Ensured client services metrics are meeting expectations on a monthly basis. Communicated policy changes with staff and client.  Handled development of policies and procedures to manage the prior authorization/Intake process.  Approved PTO requests Call monitoring audits Handled customer complaint audits Responsible for interviewing and hiring Handled daily workload distribution  Oversaw a team of 28 employees  Emailed audits and daily reports to client weekly.

Lake Mary Fl

 Call Control Center, Monitor phone queue  Control of as well as Monitor Daily Work flow Monitor Intake  Payroll Projects assigned by Management LifeNet: Perform Warm Intake with Facility, Intake case paperwork, Verifybenefits, Submit for authorization and follow up with Insurance carrier and notify Doctors office of the final outcome of our submission.  Update LifeNet Inquiry Report accordingly

Lake Mary Fl

 Verified patient benefit deductibles for upcoming spine surgeries Documented all pertinent information, communication with the carrier, facility, and physician. Obtained any missing information pertinent to each case Submitted pre-certifications and obtained pre-authorizations on behalf of the Physician to ensure coverage of costly treatments. Submitted appeals for claim denials when necessary Handled complaints, issues and/or concerns from Physician offices and Sales Representatives Provided optimum customer service to all internal and external customers. Performed other duties and projects as assigned.

Lake Mary Fl

 Complete Implant Coordination, Implant Verification & Recovery of implants not utilized in a surgical procedure, in a timely manner. Liaison for internal customers including but not limited to, Manufacturing Services, Purchasing, Preauthorization, Accounting, Compliance, Payer Services & Revenue Management Oversee the completion of Pre and Post Operative requests from internal customer (Staging of Orders). Post invoices to ensure timeliness and accuracy of charges on cases prior to billing Ensure that case corrections are completed in a timely manner.  Maintain positive relationships with facilities in high-volume territories Primary external customers include Facility clients (hospitals and surgery centers Material Managers) and Manufacturers.

Prior Authorization Specialist  Verified patient benefit deductibles for upcoming spine surgeries Accountable for documenting all pertinent information, communication with the carrier, facility, and physician. Obtained any missing information pertinent to each case Submitted pre-certifications and obtained pre-authorizations on behalf of the Physician to ensure coverage of costly treatments. Submitted appeals for claim denials when necessary Handled complaints, issues and/or concerns from Physician offices and Sales Representatives Consistently provided optimum customer service to all internal and external customers. Performed other duties and projects as assigned.

Certificate, Medical Claims And Billing Specialist

A.S Office Operations Administration, Office Operations Administration

Business Administration And Management, General