At M Health Fairview University of Minnesota Medical Center, I review and process prior authorization requests for medical procedures, verify insurance coverage, and communicate with insurers about approval decisions.
I work with providers to gather clinical documentation and help schedule appeals and peer-to-peer reviews for denied authorizations.
At Oklahoma Heart Hospital, I submitted authorizations for surgical and outpatient procedures and calculated patients’ financial responsibility. I also assisted with denial management and appeals.
At Comanche County Memorial Hospital, I coordinated referrals, processed claims, and monitored accounts receivable. I reviewed denied or unpaid claims and communicated with insurers to resolve payment issues.
