In a previous role, I encountered a situation where a patient's insurance denied coverage for a procedure due to a coding error. I reviewed the medical records, consulted with the provider to correct the coding, and resubmitted the claim. I also communicated with the insurance company to explain the situation, which led to the claim being approved. This experience taught me the importance of thorough documentation and clear communication with all parties involved.

I regularly attend industry webinars, read relevant publications, and participate in training sessions offered by my employer. Additionally, I subscribe to newsletters from insurance companies and regulatory bodies to stay informed about any changes. This proactive approach ensures that I can provide accurate and up-to-date information to both patients and healthcare providers.

My process begins with collecting the patient's insurance information and verifying their eligibility and benefits through the insurance company's portal. I then review the coverage details to ensure the services provided are within the patient's plan. If there are any discrepancies, I communicate with the patient to clarify their benefits and any potential out-of-pocket costs. This thorough verification helps prevent claim denials and ensures patients are aware of their financial responsibilities.

I approach patient inquiries with empathy and clarity. I first listen to their concerns and then provide detailed explanations of their insurance coverage, including any limitations or exclusions. If I don't have the answer immediately, I assure them that I will research the issue and get back to them promptly. This approach builds trust and ensures patients feel informed and supported.

I prioritize tasks based on urgency and impact. I start by addressing any immediate issues, such as claims that need to be resubmitted or patient inquiries that require immediate attention. I then move on to tasks that have a deadline, ensuring they are completed on time. Finally, I handle less urgent tasks, such as routine verifications or follow-ups. This method ensures that critical issues are resolved promptly while still managing the workload efficiently.