Experienced with +20 years in the medical industry. Worked in many different positions as an Office Manager, Customer Service Representative, Medical Assistant and Insurance Billing. I have spent the past eight years employed by St. Joseph's Behavioral Health Center as a Case Manager/Utilization Review in a psychiatric hospital. ”Hospital Denials“ Appealed many accounts denied by health plans. Collaborated with many HMO's, commercial health plans and knowledgeable with insurance “carve-out's“ for mental health. Experienced in insurance verification, benefit coverage, authorization/certification for inpatient/outpatient services, provided by hospital. Proficient in patient and family interactions. Improving customer satisfaction, and driving overall operational improvements. Consistently saved cost.
Motivated to learn, grow and excel in an Administrative position.
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