Analiza

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Overview

Looking for full-time work (8 hours/day)

at $6.00/hour ($1,056.00/month)

High school diploma

Last Active

November 28th, 2024 (yesterday)

Member Since

February 7th, 2022

Profile Description

Medical Receptionist/Prior-authorization Specialist 

Top Skills

Experience: 2 - 5 years

➢Providing an exceptional customer service experience, responding to and resolving customer service inquiries, and identifying the topic and type of assistance the customer needs. ➢Research complex issues across multiple databases and work with support resources to resolve customers and/or partner with others to resolve escalated issues. Documenting multiple platforms and routing requests. ➢Locating and establishing contact with in network providers and setting appointments for members. ➢Explained benefits and coverage, status of claims and resolving billing inquiries. ➢Delivered complex information in a positive manner. Assisting with filing complaints and grievances. ➢Issue Management Advocate: Helping leadership to delegate follow up commitments and ensure timelines are met. ➢Served as a point of contact for leadership, providing daily updates.

Experience: 1 - 2 years

> Respond to incoming calls from provider offices, hospitals, and facilities. > Review CPT and diagnosis codes to determine coverage under the plan. > Determine whether prior authorization is required and if predetermination is advisable. > Submit prior authorization requests. > Monitor the status of prior authorizations. > Verify the network status of providers.

Experience: 2 - 5 years

Other Skills

Experience: 2 - 5 years

Basic Information

Age
31
Gender
Female
Website
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Address
Cogeo, Antipolo
Tests Taken
IQ
Score:  125
DISC
Dominance: 31
Influence: 15
Steadiness: 39
Compliance: 15
English
B2(Upper Intermediate)
Government ID
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