At New York Presbyterian, I obtain prior authorizations for hospitalized and outpatient medication treatments, including therapy plans, infusions, GI, dermatology, and oncology. I provide documentation and clinical data through payer portals and monitor claims, submitting appeals and grievances to resolve denials.
At Memorial Sloan Kettering Center, I analyzed claim denials, reviewed EOBs for appeal opportunities, and followed up on primary, secondary, and tertiary pricing claims. I also maintained unbilled charge reports and allocation records.
At Montefiore Medical Center, I handled patient registration, insurance verification, payments, and inpatient authorizations. I followed up on claim edit reports and helped address patient questions about financial assistance and insurance.
I hold a Bachelor of Arts in Psychology with a minor in Business Administration from Lehman College, and an Associate in Applied Science in Business Administration from Monroe College.
