Amanda Ross
Lancaster,OH
Summary
Self-motivated Insurance Verification Specialist offering over 20 years' experience working in the health insurance field. Obtaining authorization information for billing purposes. Adept in understanding insurance benefits and third party requirements to ensure prompt payments. Offering time management, highly organized and interpersonal skills.
Overview
22
22
years of professional experience
Work History
Insurance Verification Specialist
Ensemble Health Partners
07.2020 - 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.
- 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.
- 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.
Insurance Verification Specialist
Fairfield Medical Center
12.2013 - 06.2020
- Called insurance companies & used web sites to ascertain pertinent information regarding policies and payment benefits for patients.
- Advised patients of their benefits plans in easy-to-understand terminology.
- Ensured that all patient demographics and insurance information was updated and correct.
- Verified that patients had the proper insurance coverage prior to any performed procedures.
- Communicated with patients if procedures weren't approved through their insurance and gave them options.
- Appointed to multiple committees including : Tempo Master, Revenue Integrity & the Denials task force.
- Works with payers when claims are denied in error
CSR II
Anthem BCBS
01.2002 - 10.2010
- Self starter worked at home for seven years
- Informed providers about billing procedures, provided claim status, and payment status.
- Adjusted claims
- Sent inquiries to the home plan for additional clarification of complex issues on behalf of the provider
Education
Associate Degree Health Information & Management - Health Information Technology
Hocking College
Nelsonville, OH11 2013
Skills
- Obtain authorizations electronically
- Self starter
- HIPAA Compliance
- Organized
- Time management/problem solving
- Team building
- Good attention to detail
- Patient confidentiality
Timeline
Insurance Verification Specialist
Ensemble Health Partners
07.2020 - Current
Insurance Verification Specialist
Fairfield Medical Center
12.2013 - 06.2020
CSR II
Anthem BCBS
01.2002 - 10.2010
Associate Degree Health Information & Management - Health Information Technology
Hocking College