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Rachel Lee is listed as Multi-Skilled Healthcare Professional at UCare, a company with 946 employees, based in Minneapolis, Minnesota, United States. AeroLeads shows a matched LinkedIn profile for Rachel Lee.
Rachel Lee previously worked as Coordination of Benefits Specialist at Ucare and Medical Claims Specialist at Ucare. Rachel Lee holds Bachelor Of Science - Bs, Health Information Managment And Technology from University Of Wisconsin-Green Bay.
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I'm a highly versatile healthcare professional with expertise in various roles within the healthcare industry. With a strong background in nursing assistance, pharmacy operations, clinic administration, surgery scheduling, medical claims processing, and coordination of benefits, I bring a diverse skill set and a deep understanding of the healthcare landscape. I am passionate about delivering high-quality patient care, streamlining processes, and ensuring positive outcomes for both patients and healthcare providers. My adaptable nature and ability to thrive in fast-paced environments have allowed me to successfully take on diverse responsibilities and contribute to the success of healthcare organizations. If you're seeking a dedicated healthcare professional with a broad skill set and a proven track record of excellence, I would love to connect and explore potential opportunities. Feel free to reach out to me or explore my portfolio for more information.
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Verify applicable systems to reflect updated COB information and ensure future patients are processed correctly. Ensure proper benefits are applied to each claim using appropriate processes and procedures (e.g. claims processing policies, CMS/Medicare guidelines, benefit plan documents). Initiate telephone calls to other insurance companies to gather.
Analyzed insurance information, performed data entry, handled insurance claims reimbursements, and decided whether a claim should be processed or denied. Demonstrated insurance claim expertise, analytical thinking, attention to details, communication and writing skills, and computer competencies.
Scheduled all surgical procedures and assures that all of the appropriate clinical and insurance coding information is collected for the surgery schedule. Scheduler receives requests to schedule procedures from physician offices and schedules the procedure according to established guidelines. Triaged patients and schedules appointments; screens and refers.
Maintained pharmacy inventory by checking pharmaceutical stock to determine inventory level; anticipating needed medications and supplies; placing and expediting orders; verifying receipt; removing outdated drugs. Organized medications for pharmacist to dispense by reading medication orders and prescriptions; preparing labels; calculating quantities.
Verify patient’s insurance eligibility and benefits, call or look-up payers guidelines to determine authorization requirements. Initiate and process authorization requests per payer’s guideline, maintain and follow-up authorization status Review medical records, ICD-9/ICD-10 and CTP codes for each order.
Reviewed and verified patient’s insurance eligibility, medical records, medication, ICD-9 and CTP codes, followed processing guidelines for delegated utilization management to ensure all criteria are met and created case for prior authorization review process. Maintained in-house pending prior authorizations; process approvals, denials, and appeals.
Other employees you can reach at ucare.org. View company contacts for 946 employees →
Haley Skramstad
Colleague at Ucare
Fargo, North Dakota, United States, United States
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Lindsay Melquist
Colleague at Ucare
Greater Madison Area, United States
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Colin Hammond
Colleague at Ucare
St Paul, Minnesota, United States, United States
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Sokunthea Chheat
Colleague at Ucare
Phnom Penh, Phnom Penh, Cambodia, Cambodia
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Carlos Carter
Colleague at Ucare
Minneapolis, Minnesota, United States, United States
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Sue Adams
Colleague at Ucare
Minneapolis, Minnesota, United States, United States
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Lori Wendland
Colleague at Ucare
Minneapolis, Minnesota, United States, United States
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Trisha Fisher
Colleague at Ucare
Aitkin, Minnesota, United States, United States
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JS
Josh Simenstad
Colleague at Ucare
Minneapolis, Minnesota, United States, United States
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SC
Sharon Crawford
Colleague at Ucare
Greater Minneapolis-St. Paul Area, United States
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Quick answers generated from the profile data available on this page.
Rachel Lee works for UCare.
Rachel Lee is listed as Multi-Skilled Healthcare Professional at UCare.
Rachel Lee is based in Minneapolis, Minnesota, United States while working with UCare.
Rachel Lee has worked for Ucare, Healthpartners, Djo Global, and Prime Therapeutics.
Rachel Lee's colleagues at UCare include Haley Skramstad, Lindsay Melquist, Colin Hammond, Sokunthea Chheat, and Carlos Carter.
You can use AeroLeads to view verified contact signals for Rachel Lee at UCare, including work email, phone, and LinkedIn data when available.
Rachel Lee holds Bachelor Of Science - Bs, Health Information Managment And Technology from University Of Wisconsin-Green Bay.
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