I am a Certified Medical Coder with 13 years of Insurance Verification experience. I am looking for the best position to thrive and grow in my career and my main objective is to provide complete utmost satisfaction for the patients and the employers I work for.
Vocational school
Took the course again, every weekend for five weeks and passed the course for a second time to take the certification test in the Spring of 2022.
Provide first-rate customer service while assisting providers and patients with applying to receive no-cost medications and also directing them to qualified savings programs within Janssen Pharmaceuticals.
Skills: ICD-10 Β· U.S. Health Insurance Portability and Accountability Act (HIPAA) Β· Problem Solving
The process of contacting insurance companies to determine whether a patient’s healthcare benefits cover the required medications. Develop a working relationship with doctor offices to maintain follow-ups and prior authorization determinations.
Skills: Data Collection Β· ICD-10 Β· U.S. Health Insurance Portability and Accountability Act (HIPAA) Β· ICD Β· Problem-Solving Β· Company Operations Β· Regulatory Requirements Β· Business Requirements Β· Confidentiality Β· Medical Office Β· Customer Experience Β· Medical Records Β· insurance verification Β· CoverMyMeds.com experience Β· CPT Coding.
Verify patient’s eligibility with insurance companies for CPAP supplies.
Skills: Data Collection Β· ICD-10 Β· U.S. Health Insurance Portability and Accountability Act (HIPAA) Β· ICD Β· Problem Solving Β· Company Operations Β· Regulatory Requirements Β· Business Requirements Β· Confidentiality Β· Medical Office Β· Customer Experience Β· Medical Records.
Contacting numerous insurance to obtain and confirm exact coverage information for participating medical providers. Provides direct support to Primary Care practices and specialty pharmacy providers regarding utilization, authorization, and referral activities. Perform duties in a timely and professional manner.
Skills: Data Collection Β· ICD-10 Β· U.S. Health Insurance Portability and Accountability Act (HIPAA) Β· ICD Β· Problem Solving Β· Company Operations Β· Regulatory Requirements Β· Business Requirements Β· Confidentiality Β· Medical Office Β· Customer Experience Β· Medical Records Β· ICD-9
Verifying numerous insurances and obtaining authorizations for DME coverage.
Working at maximum productivity, assisting patients and co-workers with CPAP masks and supplies information.
Reviewing patients’ information to provide them with the correct shipment of supplies while handling a high volume of customer service calls.
Skills: Data Collection Β· ICD-10 Β· U.S. Health Insurance Portability and Accountability Act (HIPAA) Β· ICD Β· Problem-Solving Β· Company Operations Β· Regulatory Requirements Β· Business Requirements Β· Confidentiality Β· Medical Office Β· Customer Experience Β· Medical Records Β· ICD-9.
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