• Reduce errors in documentation by meticulously reviewing medical records and verifying information accuracy.
• Assist management in implementing new processes and software systems, increasing overall efficiency within the department.
• Analyze medical records and other documents to determine approval of requests for authorization.
• Provide prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
• Evaluate clinical criteria for approval or denial of services requiring pre-authorization.
• Educate customers on their financial obligations, offering guidance on budgeting and repayment options tailored to their individual circumstances.
• Improve customer satisfaction by promptly addressing and resolving collection inquiries and concerns.
• Maintain strict confidentiality of sensitive customer information, adhering to company policies and industry regulations regarding data privacy.
• Analyze customer financial records to determine appropriate payment plan.
•To discuss payment options or arrangements and come to an agreement with the debtor.
• Ensuring accurate records of conversations and payments.
• Understanding the financial aspects of debt and how to offer repayment solutions.
TERTIARY
• Marikina Polytechnic College | Marikina City | 2013 - 2017
Bachelor in Industrial Technology
• Data entry proficiency
• HIPAA compliance
• Process improvement strategies
• Teamwork
• Time management
• Workflow management
• ICD-10 coding
• Prescription coordination