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Yolanda Remy

@yolandaremy

Benefits verification specialist at PALM COAST PHYSICAL THERAPY who reduced claim denials by 15% through payer portal verification.

United States

Message

At PALM COAST PHYSICAL THERAPY, I coordinate patient benefits verification and daily office operations. I verify Medicare, Medicaid, and commercial insurance through payer portals, reducing claim denials by 15%.

I also coordinate with the claims team to resolve billing discrepancies and policy limitations, and implemented digital documentation processes that reduced paper usage by 90%.

At IMAGING HEALTHCARE SPECIALISTS, I verified coverage and pre-authorization requirements for complex radiology procedures. I interpreted medical necessity guidelines and processed authorization requests with 100% accuracy.

Earlier, at ENSEMBLE HEALTH PARTNERS, I processed insurance verification requests and checked policy limitations across inpatient, rehabilitation, and diagnostic radiology services. At BROOKS REHABILITATION, I coordinated patient intake and verification and optimized therapist scheduling, reducing patient wait times by 20%.

Experience

Work history, roles, and key accomplishments

Current

Licensed Massage Therapist/Office Manager

Current

Palm Coast Physical Therapy

Jul 2018 - Present (8 years 4 months)

Manage daily office operations and coordinate patient benefits verification, ensuring a 95% client satisfaction rate. Verify insurance eligibility and interpret plan benefits, reducing claim denials by 15%.

Insurance Verification Medicare Medicaid Commercial Insurance Payer Portals Denial Management Credentialing Digital Documentation Office Management HIPAA compliance

Prior Authorization Specialist

Imaging Healthcare Specialists

Aug 2023 - Sep 2025 (2 years 1 month)

Verified patient eligibility and benefits coverage for Medicare, Medicaid, and commercial insurance to determine pre-authorization requirements for complex radiology procedures. Interpreted medical necessity guidelines and processed authorization requests with 100% accuracy.

Insurance Verification Medicare Medicaid Commercial Insurance Payer Portals Prior Authorizations Medical Necessity Criteria Clinical Documentation Reverifications

Insurance Authorization Specialist

Ensemble Health Partners

Sep 2022 - Nov 2023 (1 year 2 months)

Reviewed and processed insurance verification requests across Medicare, Medicaid, and commercial plans for medical procedures, ensuring compliance with Medicare guidelines. Utilized payer portals to verify coverage and communicated complex benefits to patients.

Insurance Verification Medicare Medicaid Commercial Insurance Payer Portals Denial Management Billing Revenue Cycle Management Patient Communication

Rehab Technician/Front desk Coordinator

Brooks Rehabilitation

Jan 2016 - Jul 2018 (2 years 6 months)

Managed front desk operations and assisted physical therapists with patient care coordination, ensuring a seamless intake and verification process. Optimized scheduling using an online calendar system, reducing patient wait times by 20%.

Front Desk Operations Patient Care Coordination Scheduling Medical Records HIPAA compliance Rehabilitation Authorization