Philip Mathews

Insurance Authorization and Verification @Vivie

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

North Dakota State University

Bachelor's degree