• Research and review all types of appeals and grievances.
• Utilize appropriate claims processing systems to ensure that the claim is processed appropriately.
• Make appropriate determinations about whether a claim should be approved or denied based on available analysis/research of claims information.
• Work with applicable business partners to obtain additional information relevant to the claim.
• Document final determination of appeals or grievances using appropriate templates, communication processes, etc.
• Communicate appeal or grievance issues/outcomes to all appropriate internal or external parties.

• Prepare and send patient reports to physicians and insurance case managers on weekly basis.
• Manage medication orders for patients daily and as needed from pharmacy and distribution center.
• Prepare and manage patient billing and reports.
• Answer incoming phone calls and route to the appropriate team member.
• Accurately document phone/voice mail messages and distribute timely according to service provided.
• Obtain and track all physician signatures on all incoming verbal orders.
• Train new hires on administrative tasks.
• Perform general administrative duties as assigned.
• Maintain all Phoenix medical records.

• Provided auditory training in compliance with individualized education plans for deaf education students.
• Consulted with campus audiologist to maximize student progress towards IEP goals.
• Assisted in the implementation of the curriculum under the direction of the teacher.
• Maintained confidentiality of students and their families.

• Obtained demographic, insurance verification and financial data to complete registration.
• Greeted patients and provided paperwork.
• Updated and maintained patient database.
• Completed and balanced all daily transaction paperwork.
• Maintained an open line of communication with all team members.

• Responsible for verification and precertification of insurance, including commercial insurance, worker's compensation, and state programs, for pre-admitted, admitted, or discharged patients.
• Determined patient responsibility, if applicable, and notified patients of deductibles or copays.
• Created and updated patient accounts with benefit information.
• Completed telephone and online verification with multiple insurance providers.
• Maintained knowledge of ICD-9 codes.

• Answered telephones, took messages, and greeted visitors.
• Scheduled cesarean sections and inductions.
• Transcribed physician orders.
• Worked closely with nursing personnel, medical staff, and the public.
• Maintained patient charts and medical forms.
• Input unit charges and delivered specimens and transports patients.

• Obtained current and accurate demographics and insurance information in order to register patients.
• Verified insurance coverage and eligibility via phone, fax, and/or online.
• Customer service provided through answering phones and assisting patients.
• Ran nightly reports and accurately balanced daily payments.

• Responsible for CRNA and anesthesiologists' surgery schedules through provided computer software.
• Collected patient's demographic and billing information in order to schedule them appropriately.
• Coordinated with 50 doctors and 22 medical centers to assist in scheduling anesthesia needs.
• Communicated with CRNAs and anesthesiologists on their availability for anesthesia needs in emergency situations.

• Answered telephones, took messages, and greeted visitors Transcribed physician orders with accuracy.
• Utilized various types of office equipment to include intercommunications system, computer, fax and copier.
• Worked closely with nursing personnel, medical staff, and the public.
• Maintained patient charts and medical forms Input patient charges.

• Answered phones, greeted visitors, and sorted incoming mail.
• Input physical, speech, and occupational therapy charges for Our Children's House and Baylor Specialty Hospital.
• Provided daily spreadsheets regarding patient charges.

Responsible for registration and admission of patients, insurance verification and verifying patient's insurance eligibility; as well as offering presumptive eligibility to patients who do not recieve medical insurance or medicaid.Responsabilites also extend to meet the legal, organizational and medical staff guidelines. Interpreted and communicated new or revised policies to staff and patients. Strategically planned methods to achieve operational goals and targets. Encouraged creative thinking, problem solving, and empowerment as part of the facility management group to improve morale and teamwork.

Responsible for ensuring an efficient flow of the unload process. This included setting up receiving equipment on the conveyor and materials such as pallets, shrink and wrapping, unloading received merchandise, and preparing and distributing merchandise from receiving to the appropriate truck or cargo unit. Also responsible for providing excellent customer service by assisting customers in locating, selecting, demonstrating, and loading of merchandise in a friendly and professional manner.