Dedicated Healthcare Administrative professional with 4 years of specialized experience in the ABA and mental Health fields. I Am an expert navigating the complex world of insurance to ensure providers get paid and patients receive the care without delay.
My expertise lies in High - volume Insurance Verification and Prior Authorizations, specifically for therapeutic services. I understand the "Medical Necessity" requirements for various payers and have a proven track record of reducing claim denials through meticulous benefit breakdowns and proactive follow-ups.
What I can do for your practice?
* Verify Eligibility - Expert at navigating payer portals (Optum, Availity, Medicaid, Navinet ,etc...) to confirm active coverage and COB.
*Secure Authorizations - Managing end - to - end authorization pipeline for initial assessments and ongoing treatment.
*Streamline Intake - Ensuring all diagnostic reports and referrals meet insurance standards before the first appointment.
*Software savvy- Proficient in HIPAA- compliant workflows and industry- standard EMR/CRM systems.
I pride myself on accuracy, professional communication, and being a reliable partner for your back office needs. Let's work together to keep your revenue cycle healthy!
