Sabrina Shepherd

Reviewed criteria to determine if a request could be approved and accurately entered Prior Authorizations in the claims system. Responded to complete requests by creating written communication of clinical outcome to members and their physicians within client-specific turnaround times.

Managed single point of contact communication with providers and patients in a designated geographical area. Contacted insurance companies to perform appropriate benefit investigations and coverage eligibility to support the billing process.

Made outbound phone contact with various insurance companies regarding patient's benefits to verify specific program benefits. Reviewed all patient's insurance information needed to complete the benefits verification process.

Authenticated callers and placed outgoing calls to Veterans regarding compensation and pension exams. Confirmed or rescheduled appointments and properly modified changes and documented information in OMS.

Served as the primary facilitator and subject matter expert to ensure program staff followed policy and procedures for submitting case records. Responsible for retrieving stored records when needed for case planning, audits, and legal issues.

Grade: 3.0 GPA

Completed high school education and received a diploma in 1990. Achieved a 3.0 grade point average during the studies.