Nancy D.

Background

About Nancy D.

Provide a multitude of administrative tasks affiliated with escalated issues involving patients or medical providers. Generate authorizations for Blue Cross/United Healthcare members receiving orthopedic neurological, and home care services.Maintain open communication with multidisciplinary team to assure that administrative terms of the contracts with health insurance providers are handled in an efficient and timely manner. Create and maintain medical records to assure that information was received, recorded and filed in the appropriate manner • Manage patient and provider information on HSR database including medical services, and claims.Answer incoming calls via call center from patients, providers and multidisciplinary staffNotify appropriate departments of compliance issues to prevent escalation calls/complaints.