Dedicated and detail-oriented Medical Insurance and Authorizations Specialist with over five years of experience in managing insurance claims, authorizations, and patient accounts. Proven track record in ensuring compliance with regulatory requirements, and optimizing authorization processes to improve patient care. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Quality check
• Conducted comprehensive quality checks on patient billing, ensuring accuracy in charges, codes, and insurance information to prevent errors.
• Monitored patient calls to assess adherence to company scripts, policies, and quality standards, providing feedback to enhance customer service and compliance.
• Collaborated with billing teams to identify and resolve issues in patient accounts, reducing the time spent on claim rejections and improving overall billing accuracy.
• Reviewed patient call logs and billing records to identify trends, recommend corrective actions, and ensure all regulatory requirements were met.
Provided training and support to staff on quality standards for patient calls and billing practices, ensuring consistency across the department
Standard operating procedures