Detail-oriented healthcare professional with 7 years of experience in administrative support and office management within medical settings. Experienced in eligibility and benefits verification, prior authorization and appeals for Skilled Nursing, Home Health and Mental Health Facilities
Expertise
*Manage incoming referrals from Hospitals and Clinics
*Prior Authorization and Appeals Management
*Eligibility and Benefits Verification
*Insurance Verification and Payer Coordination
*Inbound and Outbound Communication
*Medical Records Review and Submission
*Claims and Payment Status Verification
*Electronic Health Record (EHR) Management (Advanced MD, PCC, NetHealth, AllScripts)
*Payer Portals: Availity, SEEK, NaviHealth, Navinet, Carelon, Onelogin, UPMC
*CRM and Productivity Tools (Outlook, Gmail, Trello, Planner, Click Up, Slack)
*Microsoft Office (Word, Excel)
*HIPAA Compliance and Data Confidentiality
*Time Management and Multitasking
