Experience

CarePoint Health System

• United States
• Hospitals and Health Care
• 400 - 500 Employee

• Pre- Authorization Specialist

  • May 2016 - Present

  Bayonne NJ 07002



Optum Workers’ Comp and Auto No-Fault

• United States
• Insurance
• 300 - 400 Employee

• Customer Service Representative

  • Jun 2015 - Feb 2016

  Tampa, Florida Responsible for entering intake information and process orders for Medical Services and Equipment to Injured Workers. Provide courteous, timely and responsive follow up on all orders, special authorizations, Letters of Medical Necessity and other DME referrals to clients which include Adjusters, Nurse Case Managers, Patients, Physicians, Vendor Providers and other referral sources.



MedAssets

• Patient Account Representative

  • Nov 2012 - Mar 2015

  Saddle River, New Jersey Follow up on all Medical claims billed to various insurance companies. Identify billing errors for correction and resubmit claims to the payers. Review Insurance EOB’s, and follow up on payment errors, denials, appeals etc.



ARMDS

• Charity Care Representative

  • Sep 2011 - Jun 2012

  Newark, New Jersey Responsible for assisting hospital patients with the completion of the application process for any applicable governmental medical assistance programs which could include Medicaid, Disability, or Charity programs.



Armanti

• Charity Care Representative

  • Sep 2008 - Sep 2010

  Jersey City, New Jersey Responsible for assisting hospital patients with the completion of the application process for any applicable governmental medical assistance programs which could include Medicaid, Disability, or Charity programs.