Mary Scott

• Coordinated appeals processes for timely resolution of claims.
• Analyzed case documentation to ensure compliance with regulations.
• Communicated with stakeholders to gather necessary information for appeals.

• Scheduled and confirmed appointments to facilitate timely visits and minimize wait times.
• Scheduled appointments with physicians for new patient referrals.
• Communicated with insurance companies to determine coverage eligibility for new patient referrals.
• Submitted authorization requests to insurance companies for necessary patient procedures.
• Coordinated communication among referring providers, primary care physicians, and specialists to ensure clarity in referred patients' care plans.
• Prepared patient referral packets containing necessary forms, documents and information.
• Collaborated with clinical staff in meetings to enhance processes for new patient referrals.
• Managed incoming calls, directing callers to correct departments or personnel for efficient resolution.
• Determined the most efficient timeline for completing a given assignment while ensuring optimal resource utilization.

• Coordinated client assessments to identify needs and develop care plans.
• Facilitated communication between clients, families, and healthcare providers.
• Managed case documentation using company-specific software for compliance.
• Schedule home health aide appointments
• Self as a correspondence between vendors and insurance providers.

• Calculated and determined eligibility for state entitlement programs, including snap benefits and federal cash benefits, facilitating timely access to necessary support.
• Conducted client interviews to assess eligibility for SNAP benefits, TANF, and Medicaid.
• Assisted with applications for government benefits such as Medicaid or Social Security Disability Insurance.
• Maintained accurate case records and documentation according to agency guidelines.
• Managed caseloads for individuals across the county.

Provided referrals to appropriate health care providers or other community resources.

Adhered to ethical principles and standards to protect clients' confidential information.