I will manage prior authorizations and referrals

HIPPA Certified business associate/prior authorization specialist with over 5 years of experience in medical billing.

My core expertise is in the following areas:

1- Verification of benefits (VOB)

2- Eligibility verifications

3-Prior authorizations

4-PCP Referrals

5- Account Receivables

6- Denial management

7- Cardiology authorizations

8-Electrophysiology authorizations

Expertise in Cardiology/electrophysiology prior authorizations:

• In depth understanding of cardiology cpt codes and procedures
• Managed prior authorizations for 5 cardiology practices
• Obtain referrals and prior authorizations for cardiology and electrophysiology services
• Whenever necessary scheduled P2P for denied prior authorization cases.
• Hands on experience handling preservice appeals
• Calls to insurances and PCP offices.

Expertise in AR and Payment posting:

• 1 Year experience in Account Receivables and payment posting
• Follow up on claims .
• worked on denials
• worked on aging.

Softwares/Portals and websites:

• Familiar with insurance portals like Availity, Carelon, Cohere, Evicore, Evolent, RADMD etc
• ECW, NEXTGEN, APRIMA, MEDIFUSION.