Renee Harris
McKeesport
Summary
Dynamic Patient Care Coordinator with extensive experience at WellBe Senior Medical, excelling in prior authorization and insurance verification. Proven ability to enhance patient communication and support while ensuring regulatory compliance. Adept at collaborating with multidisciplinary teams to streamline workflows and improve care delivery, demonstrating strong problem-solving skills and meticulous attention to detail.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Patient Care Coordinator
WellBe Senior Medical
Pittsburgh
01.2024 - Current
- Organized patient appointments and facilitated necessary follow-up visits.
- Provided ongoing communication with patients, families, and other healthcare providers regarding treatment plans and progress.
- Collaborated with multidisciplinary teams in order to provide comprehensive patient centered care.
- Performed administrative duties such as filing paperwork, answering phones, and scheduling appointments.
- Maintained accurate records of all patient care activities using electronic health record systems.
- Coordinated patient care services with the medical team to ensure quality and timely delivery of care.
- Provided compassionate support to patients and their families.
- Ensured that all necessary documentation was completed accurately and submitted in a timely manner.
Prior Authorization Specialist
Blink Health
Pittsburgh
02.2020 - 12.2023
- Reviewed claims submitted without valid pre-authorization codes and took corrective action when necessary.
- Collaborated with internal staff members to resolve discrepancies or issues related to prior authorizations.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
- Responded promptly to inquiries from providers, patients and payers regarding status of prior authorization requests.
- Educated healthcare professionals on how to properly submit a request for pre-authorization.
- Reviewed prior authorization requests to ensure accuracy and completeness of required information.
- Ensured compliance with state and federal regulations pertaining to prior authorizations.
- Facilitated communication between providers, payers and health plans regarding prior authorization processes.
Education
Associate of Applied Science - Pharmacology
Western School of Business And Healthcare in
Monroeville, PA02-2005
Skills
- Prior authorization and insurance verification
- Claim management and documentation
- Electronic health records
- Regulatory compliance
- Patient communication and support
- Interdepartmental collaboration
- Data entry and medical terminology
- Problem solving and attention to detail
- Workflow management
- Claim management
Certification
- Certificate of Achievement in Patient Care 9erations
Timeline
Patient Care Coordinator
WellBe Senior Medical
01.2024 - Current
Prior Authorization Specialist
Blink Health
02.2020 - 12.2023
Associate of Applied Science - Pharmacology
Western School of Business And Healthcare in