Salome Hilton Email and Phone Number

Deal with insurance respresentative and claimsOutbound calls to determinate nature and scope of patient's insurance coverageCommunicate and coordinate with internal department

Screened members using targeted intervention business rules and processes to identify needed medical services in accordance with the benefit plan.Worked HEDIS reports/ motivate members to follow up with PCP.Reviewed clinical data matching it against specified medical terms an diagnoses or procedures codes for authorizing request or referring request for further review.Answer calls from physician offices, hospitals and patients using exemplary customer services skills.

Provided administrative support to ensure that operations are maintained in an effective, up to date and accurate manner.Pulled EOB claims Typed correspondence, reports and other documentation.Pulled daily reports and other documents to ensure that all documents are closed by schedule time.

Provided consulting to medical provider and patient. Assist physician with medical procedure.Collected specimens/ phlebotomy.Provided patient education

Provided education about IUI,IVF and Donor eggs as well as resources.Heavy phlebotomy, maintained supplies for blood drawing station.Adhere to OSHA guidelines; ensure lab specimens were sent to proper labs.