The Queen's Medical Center
July 2011 — Present
Carefully reviewed medical records for accuracy and completion as required by insurance companies. Acquired insurance authorizations for procedures and test ordered by the attending physician. Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered. Quickly responded to staff and client inquiries regarding CPT codes. Confirmed patient information, collected copays and verified insurance. Prepared and attached all required documents including referrals, treatment plans or other required correspondence to reduce incident of denials. Consistently informed patients of their financial responsibilities prior to services being rendered. Remained up-to-date with all insurance requirements, including details of patient financial responsibilities, fee-for-service and managed care plans. Efficiently performed insurance verification and pre-certification and pre-authorization functions. Worked closely with (patients, team, customers) to produce positive results.