Rosemary Rodriguez

• Processed healthcare service authorization requests, ensuring timely approvals and access to necessary treatments.
• Reviewed clinical documentation to ensure compliance with guidelines.
• Clarified authorization details and requirements with providers to facilitate informed decision-making.

• Specialty Processing authorization in Behavioral Healthcare

Managed Medicaid and dual plan authorization processing for inpatient and outpatient services, maintaining compliance with regulatory standards.

• •Applied patients for Ahcccs Medicaid eligibility
• Assisted clients in understanding financial options and resources available.
• Prepared reports on client financial status and counseling sessions.

Managed client files and organized financial documents efficiently.

• Maintained confidentiality of sensitive financial information at all times.

• Verified insurance details and patient coverage to ensure eligibility for services rendered.
• Processed patient billing information for accuracy and completeness, reducing discrepancies.
• Communicated with patients about billing inquiries and payment options to enhance understanding.
• Utilize electronic health record systems to manage billing data effectively.
• Coordinate with medical staff to ensure correct coding of procedures.
• Maintain confidentiality of patient financial information per regulations.

Facilitated self-pay packet completion for non-insured patients to ensure proper billing processes.