Sacramento, California, United States
· Manage authorization and denial workflows for inpatient admissions · Collaborate with RN care managers, physicians, hospitals, and insurance payers to coordinate timely authorizations. · Support operational initiatives and workflow improvements across multiple departments to enhance operational efficiency · Participate in testing, validation, and implementation of new Epic workflows · Develop training materials, workflow documentation, and reference guides to support system implementations and process changes.
· Checked in patients, verified insurance, and collected copays. · Assisted with patient intake, roomed patients, obtained vital signs and assisted providers as needed for patient care.
· Checked in patients, collected copays and verified insurance at time of visit. · Processed and obtained authorizations for referrals for all Medi-cal, HMO, and PPO insurances. · Medical record specialist who processed all medical record requests from all outside facilities, subpoenas, insurances, etc.