Developed and implemented prior authorization workflow, policies, and procedures.
Obtained all necessary information, including documents and orders on behalf of patients.
Applied coding principles in sync with government policies and standards.
Verified patients’ benefits and ensured that proper prior authorization and re-authorization were obtained for additional treatment.
Assisted in verifying requests for pre-authorization.
Looked through insurance plans in a detailed manner.
Secured patients, demographics, and medical information by using great discretion and ensured that all procedures were in sync with HIPPA compliance and regulation.