Nicole Ison Email & Phone Number

United States

Oakland, California, United States

United States

San Francisco Bay Area

serves as the hospitals primary contact for patient reimbursement issues in accordance with established credit policies. provides information regarding the hospitals payment requirementsalternative financing, and financial assistance programs. Additionally, works with the patient service representatives to ensure all other collection efforts have been exhausted prior to placing accounts with an outside collection agency. Maintains good public relations while consistently applying the credit policy. excellent people skills, demonstrated success in managing accounts, high level of communication skills and organizational ability. Familiarity with statutes and regulations that affect collection of past due accounts

Job Duties: Performed telephonic support for online authorization of routine services Provided direct support to Primary Care practices and specialty care providers regarding utilization, authorization, and referral activities was proficient in the use of ICD-9 and CPT codes performed Data entry referrals for non-complex services including inpatient and outpatient care Provided data entry for care which has been arranged by the Pre-Authorization Coordinators. Contacted providers with authorization, denial, and appeals process information Assisted in educating and acted as a resource to primary care practices and specialty care providers Verified eligibility of members and participating status of providers Determined member benefit coverage Performed other duties as required Demonstrated knowledge of insurances

supported the policies and procedures of the entire admissions process and maintained departmental procedures in the following areas: daily census records, management of inquiry calls/referrals, and verification of insurance coverage to ensure that the level of treatment and clinical services are appropriate to all patients’ needs. coordinated all pre-certification requirements of admissions into the facility and effectively communicated with the director of admissions and assessment clinicians regarding the disposition of each client.