The candidate holds a degree in BS Nutrition & Dietetics and is dedicated to fulfilling all assigned duties. They have previous experience in office tasks and seminars, demonstrating an enthusiastic attitude and strong interpersonal skills.
Experience: 2 - 5 years
- Handling incoming calls from healthcare professionals - Verifying patients' healthcare insurance eligibility - Examining Explanation of Benefits for providers - Determining if a code necessitates preauthorization or precertification - Assessing patients' health benefits for a particular procedure or administration - Checking the status of provider claims and appeals - Returning claims for adjustments if necessary
Experience: 2 - 5 years
- Proficient in US insurance providers such as Blue Cross, CIGNA, UHC, Medicaid, Medicare, etc. - Skilled in navigating Epic**, Ilinkblue**, Availity***, UHC Portal***, UMR website***, Humana***, Tebra***, etc. - Experienced in contacting insurance companies to inquire about approved, pending, or denied claims.
“I have a team of 6 VA's that pretty much do everything for me”
Elishama Jiles
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