Prior authorization, insurance verification,customer service

Overview

Looking for full-time work (8 hours/day)

at $5.00/hour ($880.00/month)

Associates degree

Last Active

April 22nd, 2024 (5 days ago)

Member Since

June 12th, 2021

Profile Description

Hi, My name is Upgrade to see actual info. I have more than enough experience working in a US-based healthcare account. I have extensive training and execution of my knowledge and abilities for different companies. I'm a team player and a passionate worker. I can definitely work under pressure with a high level of accuracy in every project I do. I am familiar with ICD-10 coding, CPT codes, modifiers, Medical Terminologies, Insurance Billing Processes and Guidelines, prior authorization, insurance verification, calendar management, Customer service for DME, and appointment management.
I worked with provider side specializing Dermatology, Rheumatology, Cardiology, Obesity, 
What I can provide:
Prior Authorization
 Insurance Verification
 Navigation of pharmacy systems.
Lead Generation
 HIPAA trained
Medication refills
 Organized medications for dispensing, calculated quantities, and labels.
Responded to nurses’ questions, and taking telephone reorders from different facilities.
Enter new patients’ profiles and prescriptions into the medication input software system
Familiarity with EMR System ( Athena Health, Brightree, Careshare, Salesforce,CLinicient, CPR++)
PORTALS: Glidian, Navinet, Evicore, Insurance portals
 Prepared resupplies, prescription refilling, and renewals.
 Medical Abbreviation and Terminologies comprehension,
 Appeal project
Major Follow-Up Insurance:
1. BCBS
2. Anthem
3. Aetna
4. Medicare
5. Medicaid
6. UHC/ Optum
7. Cigna
8. Magellan
9. Superior Health Plan
10. Humana
11. Kaiser
12. Regence
Here's a list of some of the programs that I am well-versed of.
 Google sheet
Google drive
 MS Excel
 MS Word
 MS PowerPoint
 Outlook
 Google Mail
 Zoom | MS Teams
 Ring central
 Snipping tool
I am a person who values and embraces the goals of my clients as if they are my own. If you’re going to hire me, rest assured that you’ll get more than you expect from your one-time investment.