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Referral coordinator
Monitor patient referral and intake from Navi Net, 100% accuracy in data entry, Ensure compliance with all state and federal referral/intake regulatory requirements., Adopt work methods and procedures to ensure patients are admitted in accordance with policy, Answer and resolve questions when needed, Establish and maintain positive working relationships with current and potential referral sources, Ensure maximum third-party reimbursement through direct oversight of insurance verification and authorization processes
call center representative
Researched, resolved, and responded to inquiries and correspondence regarding coverage, eligibility, claims, provider networks, payments and appeals, Exercised judgment and discretion to determine the course of action needed to resolve inquiry or complaint, Initiated claims adjustments and updated enrollment information through the online system., Provided education to members on various avenues available to them to obtain information such as the website
Receptionist
Scheduled and confirmed patient appointments, test, surgeries, and medical consultations, Scanned and index medical records, Transmitted correspondence or medical records by mail, email, and fax, Performed bookkeeping duties, Completed insurance and other claims forms, Greeted visitors and log in patients arriving at office, Daily Communication with customer on relevant issues and resolution, Received and routed messages and documents to appropriate staff