Philip Mathews
Insurance Authorization and Verification
- Role
- Insurance Authorization and Verification at Vivie
- Location
- Alexandria, MN, US
- LinkedIn followers
- 500 followers
About Philip Mathews
I am originally from the Alexandria, MN area and I graduated from North Dakota State…
Experience
Insurance Authorization and Verification
Sep 2022 — Present · Alexandria, MN, US
Experience in the healthcare prior authorization industry- Understanding of insurance policies and benefits related to services - This also includes the follow up of claim rejection and denials- Knowledge of CPT/HCPCS codes and its impact on authorization requirements- Utilization of web-based communication with payers (Ex: Availity, Inovalon)- Effective communication over the phone with payer reps- Ability to educate and construct step by step instructions and reference documents for policies to team members and stakeholders- Proficient in Microsoft Office tools like Excel, Word, Outlook and Google Sheets/Word- Familiar with SQL, Tableau and other data analysis tools- Working independently in a changing and complex environment, remotely- Collaboratively informing and describing insurance specifics with less knowledgeable stakeholders - Work in tandem with billing department and leadership to identify trends of payer issues or inefficiencies
Education
North Dakota State University
Bachelor's degree
2018 — 2021
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