Detail-oriented and HIPAA-certified Clinical Administrative Coordinator with strong expertise in healthcare insurance plans, including understanding of expenses, benefits, claims processing, and billing procedures. Proficient in managing prior authorizations, coordinating patient and provider communications, and offering high-quality phone and administrative support in fast-paced clinical settings. Known for exceptional attention to detail, accuracy in documentation, and strong teamwork skills to ensure seamless healthcare operations and patient satisfaction.
•In-depth knowledge of commercial and government healthcare insurance plans (PPO, HMO, POS, Medicare, Medicaid)
•Claims processing, billing inquiries, and benefit verification
•Prior authorization and pre-certification coordination
•Patient and provider support across phone and electronic communication
•Compliance with HIPAA regulations and confidentiality standards
•Strong multitasking and administrative skills
•Collaborative team player with a focus on efficiency and service quality
