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 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, UHC, 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
Verified
