SENIOR BILINGUAL ASSOCIATE
R1RCM
Oct 2022 - Mar 2024 (1 year 6 months)
Insurance Verification: gathering patient active insurance information, verification of eligibility and benefit, checking if prior auth is necessary or not to a specific procedure. Prior Authorization: Initiate PA through payor portal or third party vendor such as (carelon, UHC, evicore, availitty, Radmd, etc), via fax or phone call. Monitor PA status. Input PA details to EHR or EMR system. Basic Knowledge of medical billing for in-network and out-of-network providers. Administration task such as managing inbox, and also organizing files.