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.
Overview
8
8
years of professional experience
1
1
Certification
Work History
AUTHORIZATION ASSISTANT/ INDEXER
ROYAL SOLUTIONS GROUP
10.2021 - Current
Duties include, but not limited to:
Verify prior authorizations from insurance companies using multiple websites including NIA, Carelon, Evicore, UHC, and Optum
Verify prior authorizations by calling insurance companies and speaking directly to representative.
Checking status of prior authorizations multiple times for multiple accounts via websites and phone
Sort and input radiology orders from fax queue.
MEDICAL RECEPTIONIST
WYOMING COUNTY COMMUNITY HOSPITAL
07.2019 - 09.2021
Duties include, but not limited to:
Arrive and input radiology orders for scheduled exams and walk-in x-rays.
Schedule patient for numerous modalities including X-ray, Mammogram, Ultrasound, CT, MRI, Dexa, Interventional Radiology Procedures
Answer multi-line phone while documenting calls.
Verify prior authorizations from insurance companies using NIA, AIM, Evicore, UHC websites.
Checked patient insurance, demographic, and health history to keep information current.
OUTPATIENT ACCESS SPECIALIST
UR MEDICINE PRIMARY CARE – PERRY
04.2018 - 07.2019
Duties include, but not limited to:
Register/check out patients while following all HIPAA compliance.
Answer multi-line phone while documenting calls.
Route patient refills to provider
Communicate patient questions to providers.
PATIENT INFORMATION SPECIALIST
WYOMING COUNTY COMMUNITY HOSPITAL
09.2017 - 04.2018
Duties included, but not limited to:
Data entry, verify patient information for Outpatient Department
Data entry, verify patient information for Emergency Room
Verify insurance coverage to help ensure payment and collect patient copays for procedure/tests
Pre-register patients for surgical procedures
PHARMACY TECHNICIAN
WEGMANS FOOD MARKET
04.2015 - 09.2017
Duties include, but not limited to:
Intake, data entry, dispensing and distributing of medications
Confirm patient information in order to release medication
Problem solving, anticipating, analyzing, and identifying problems when arise.
Entering insurance information
Contacting insurance companies to overcome adjudications in conjunction with customer's medication coverage.
Strong math and computer skills, proficient in Windows based software
Data entry skills: interpret/input information utilizing proper keyboard techniques, treat company and other sensitive material with professionalism and confidentiality
Ability to multi-task and work in fast-paced environment
Able to work in team environment or alone
Possess organizational skills, prioritizing requests and department activities while managing interruptions and attending to details to complete tasks within deadlines
Able to problem solve, anticipating, analyzing, and identifying problems, responds quickly when situations arise preventing problems when possible
Provide customer service, proactively offering assistance and providing accurate and timely information, making product/ service recommendations and accommodating special requests
Recognize and seek opportunities for continuous learning to gain new understandings, skills and knowledge
Certification
BLS - Basic Life Support Certified | EMT - Basic Certification | Volunteer Ambulance/Fire Fighter | 2017 - Present
Lead Medical Assistant / Phlebotomist at Conviva Care Solutions Royal Palm BeachLead Medical Assistant / Phlebotomist at Conviva Care Solutions Royal Palm Beach