RCM roles, Prior Authorization, Insurance Verification, Patient Scheduler

Provide customer service in various scenario such as providing patient status updates, patient scheduler. Knowledgeable in the back-end rcm role that collaborate with the facility, doctors office and insurance company for more efficient outcome of resolution.

Maintaining accurate records of prior authorization request, approvals and denials. Tracking the status of authorization and following up with insurance companies to expedite approval or address potential issues. Investigating insurance denials and filing re-determination or appeals to ensure patient receive necessary treatment. Track record of authorization status.

Experienced in prior authorization and insurance verification in an rcm set-up which emphasize meticulous intake process such as validating insurance coverage and accurate data. Responsible for retrieving the authorization status by collaborating with the facility, doctors office, insurance company or healthcare web portal for efficient case management.