PRE-CERTIFICATION CO-ORDINATOR
Mass Eye andEar Infirmary
Jan 2016 - Jan 2017 (1 year 1 month)
• Established as contact network with the plans/agencies which resulted in the pre-certification process to work more efficiently. • Obtained prior authorizations for ancillary tests such as MRI's, CT's, PET's U/S's, MRA's and for Botox and Surgical cosmetic procedures. • Verified insurance eligibility with health insurance carriers. • Worked closely with physicians, support staff to obtain the detailed information required for pre-certification. • Obtained referral and authorizations for procedures. • Documented required information related to approvals and denials into EPIC.