MONICA S.'s Linkedin Analytics

Prioritize workloads to ensure expedited cases are processed within the stipulated time and summarize medical records chronologically. Detect, interpret and update specific reasons to see the Patient and then treatment-related information Read Patient records (Physician’s plan of action, Lab reports )and decode disease or procedure, using CPT and ICD10 codes. Obtain prior authorization/Referrals from insurance companies prior to Drugs, procedures, or surgeries utilizing the online websites /fax or via call. Work on Pharmacy Drug Authorization and Oncology Drugs and Chemo Supportive Drug Authorization. If the case is denied due to medical necessity also file expedite Appeal Request. Software-ONCO EHR, Integra EHR, ECW, Center city,G4 Follow HIPAA guidelines and handle All types of US Health Insurance such as Medicare, Medicaid, Commercial, Tricare, etc.