Healthcare Representative

Verified

With Timeproof

Overview

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

at $7.00/hour ($1,232.00/month)

Bachelors degree

Last Active

November 30th, 2024 (today)

Member Since

February 11th, 2022

Profile Description

• Payment – process premium payments using credit card and EFT checking account.
• Benefits – discuss with the member their plan benefits which includes, deductible, out of pocket maximum, copay, and coinsurance. What are the covered procedures and/or medications.
• Claims – check why claims got rejected and discuss options on how it can get paid
• Prior Authorization – initiate prior authorization for, tier exception, formulary exception, and, etc.
• Collection Representative – review claims to know what is the reason of the denial.
• Process billing for the insurance and for the patient.
• Call insurances and ask for the denial reason of the claim to make sure that the Facility is getting paid for the claim.