Albert TRabert
Desert Hot Springs
Summary
Dynamic Insurance Verification Specialist with proven expertise at UCHealth University of Colorado Hospital, excelling in HIPAA compliance and patient confidentiality. Recognized for enhancing patient satisfaction through effective communication and meticulous insurance verification, while consistently achieving timely pre-authorizations. Strong attention to detail and interpersonal skills drive operational efficiency and foster positive relationships with insurance representatives.
Diligent CMS and Transplant with solid background in insurance verification and proven track record of ensuring accurate and efficient processing of patient information. Successfully identified discrepancies and facilitated resolutions to improve workflow and reduce claim denials. Demonstrated expertise in communication and problem-solving.
Experienced with insurance verification processes, ensuring accurate and timely handling of patient information. Utilizes strong analytical skills to identify and resolve discrepancies, maintaining seamless operational flow. Knowledge of industry regulations and best practices, contributing to overall efficiency and reduced claim rejections.
Insurance professional with strong background in verifying insurance coverage and benefits. Skilled in navigating complex systems, resolving discrepancies, and ensuring accurate information. Known for excellent team collaboration and adaptability to changing needs. Efficient in communication, problem-solving, and maintaining high standards for quality and results.
Insurance professional with in-depth experience in verifying insurance coverage and handling patient information to ensure smooth operations. Known for reliability and adaptability in dynamic environments, contributing effectively to team goals. Proficient in utilizing verification systems and maintaining comprehensive records while displaying strong attention to detail and collaborative mindset.
Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.
Pragmatic Insurance Verification Specialist touting 10 years of expertise in benefits explanation and coverage tracking. A team player with a vast knowledge of medical terms and working with all types of personalities effectively. Offering dynamic organizational skills and attention to detail.
Dedicated administrative professional with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision.
Versatile professional serves as first point of contact for patients by verifying insurance, handling paperwork and preparing records. Patient-oriented and helpful candidate familiar with MS Office and EHR systems coupled with thorough knowledge of medical terminology. Committed to providing personalized service and quality patient care.
Versatile Administrative professional well-versed in healthcare practices, compliance standards and operations. Excellent problem-solver and clear communicator with positive and upbeat personality. Advanced abilities in Epic.
Overview
10
10
years of professional experience
Work History
Insurance Verification Specialist
UCHealth University of Colorado Hospital
09.2015 - Current
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
- Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Developed strong relationships with insurance representatives, facilitating smooth communication channels for resolving inquiries or disputes.
- Reduced errors in billing by accurately maintaining patient records with updated insurance information.
Respiratory Manager
Remeo
11.2014 - 08.2015
- Oversaw hiring, onboarding, and ongoing performance evaluations of respiratory therapy staff to maintain a skilled, high-performing team.
- Ensured a safe working environment for staff members through diligent adherence to safety guidelines and regular updates on best practices.
- Championed a culture of excellence within the respiratory department, motivating staff members to deliver the highest standard of care possible for each patient.
- Enhanced staff performance through consistent training and development initiatives, ultimately leading to improved patient care.
- Served as a subject matter expert within the organization on matters related to respiratory health issues and treatment options available at our facility.
- Achieved greater operational efficiency by coordinating schedules, equipment maintenance, and inventory management processes across the respiratory team.
- Managed budgets effectively, optimizing resource allocation for maximum impact on patient care quality and department efficiency.
- Streamlined department operations by analyzing workflows, identifying inefficiencies, and implementing process improvements.
- Collaborated with interdisciplinary teams to ensure optimal patient care and coordinated treatment plans for respiratory patients.
- Implemented successful staff retention strategies by fostering a supportive work environment focused on professional growth and collaboration.
- Reduced hospital readmissions for respiratory patients by developing comprehensive discharge plans and follow-up procedures.
- Participated in community outreach efforts to raise awareness about respiratory health issues and educate the public on available services and resources.
Education
Associate of Applied Science - Respiratory Care Practitioner
Erie Community College
Buffalo, NY05-1992
No Degree - Nursing
Practical Nurse
Buffalo, NY05-1988
Skills
- Attention to detail
- Patient confidentiality
- HIPAA compliance
- Insurance coverage verification
- Data entry proficiency
- Eligibility determination
- Data entry and review
- Communication and interpersonal skills
- Coverage and authorizations
- Coordination and scheduling
- Insurance billing
- Medical billing
- Electronic medical records
- Prior authorization processing
- Skilled in Epic
- Data security and confidentiality
- Document management
- Medical terminology
- Data verification
- Account maintenance
- Proficient in Excel, Word and Power Point
- Accuracy and precision
- Fraud detection
Accomplishments
- Documented and resolved New guildlines in CMS which led to reimbursement of 17 million dollars in denials .
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Supervised team of 12 staff members.
- Collaborated with team of 6 in the development of transplant insurance verification .
- Achieved Roll modal by completing goals, new policies and procedures in transplant and CMS reimbursement with accuracy and efficiency.
Class President
Class President of Erie Community College Respiratory Practitioner Class.
Timeline
Insurance Verification Specialist
UCHealth University of Colorado Hospital
09.2015 - Current
Respiratory Manager
Remeo
11.2014 - 08.2015
Associate of Applied Science - Respiratory Care Practitioner
Erie Community College
No Degree - Nursing
Practical Nurse
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