Charise Siller

Managed inquiries from insurance payors through email, fax, and phone on clinical requests.

• Entered data into clinical database to efficiently process customer requests.
• Communicated vital information to payers such as discharge dates and patient dispositions.
• Collaborated with nursing staff to relay denial details and identify necessary documentation.
• Updated nursing personnel on appeal requests to facilitate rapid follow-up actions.
• Informed insurance verification team of incorrect submissions for prompt correction.
• Maintained thorough documentation of utilization review activities in patient records.
• Led training sessions for new staff on utilization review practices to enhance efficiency.

• Facilitated scheduling and management of healthcare appointments for patients.
• Coordinated insurance verification to enhance efficiency of patient visits.
• Managed front desk operations, creating a welcoming atmosphere for patients and visitors.
• Resolved inquiries by providing accurate information on available services.
• Maintained patient records using electronic health record systems efficiently.
• Addressed complaints by listening attentively and offering effective solutions.
• Verified insurance details, collected payments, and organized appointment schedules seamlessly.
• Adhered to HIPAA regulations in handling confidential patient information.

• Managed high-volume telephone and back desk reception to ensure seamless operations.
• Handled sensitive information with strict adherence to confidentiality protocols.
• Trained new staff in customer service best practices to enhance team performance.
• Scheduled patient appointments for medical visits and financial consultations efficiently.
• Provided financial counseling to patients and families in compliance with policy guidelines.
• Assisted with financial arrangements, facilitating access to aid for eligible patients.
• Verified insurance details, executed daily reports, and scanned documents meticulously.
• Liaised consistently with physicians regarding the status of patient orders.

• Read and examined incoming material for accuracy and legibility, obtaining clarification if necessary, classified properly and filed within an appropriate file system.
• Assigned and stamped identification numbers or codes to index materials for filing.
• Responsible for protecting data from unauthorized release or from loss, alteration, or unauthorized deletion.
• Searched for and investigated information contained in files, inserted additional data on file records, completed reports, and kept the file's current.
• Responsible for preparing and submitting financial reports.
• Eliminated outdated or unnecessary materials, destroying them or transferring them to inactive storage.
• Maintained strict confidentiality in accordance with HIPAA regulations and Company policy.