Rebecca Powell

Obtains pre-certification for all inpatient admissions and pre-authorization for all outpatient diagnostic tests, and performs an administrative support function. Applies application and interpretation of policies and procedures, and the use of independent judgment in a medical setting. Achieves goals and meets the denial rates set by Patient Access, the Medical Center, and HSF to ensure minimum loss of revenue and maximum payment for services.

• Analyzes information required to complete pre-certifications and/or authorizations with insurance carriers, service area contacts, and workman’s compensation carriers.
• Demonstrates skill in the proficient use of PC and UVA software systems to ensure that all pre-certification/pre-authorization information is entered into required computer systems in an accurate and timely manner.
• Demonstrates the skills of effective communication, decision-making, and organization to ensure efficient job performance and job success.
• Demonstrates ability to adhere to policies and procedures.

Receives emergency requests for service by radio and telephone; determines appropriate responses according to location and nature of problem. Performs as an Emergency Medical Dispatcher; provides pre-arrival emergency instructions and operates computer-aided dispatch systems. Operates and monitors multiple emergency radio frequencies. Maintains communications with utility companies, VDOT, and other outside agencies in regards to calls for service. Documents and records requests for service and tracks the response and disposition of calls according to policy and procedure.

Dispatched emergency and non-emergency calls for service. Dispatched aircraft for emergency scenes and interfacility transports. Received patient care reports from incoming aircraft and ambulances. Flight followed for UVA Pegasus and other aircraft. Helped with the recording of statistics for the agency. Reviewed and implemented criteria for trauma alerts before arrival.