Amber Evans
New Straitsville,OH
Summary
Dynamic Insurance Verification Specialist with a proven track record at Genesis Healthcare, excelling in insurance coverage verification and patient communication. Recognized for enhancing efficiency in verification processes, ensuring HIPAA compliance, and fostering strong relationships with insurance representatives. Adept at data entry and committed to delivering compassionate patient care.
Overview
4
4
years of professional experience
Work History
Insurance Verification Specialist
Genesis Healthcare
03.2023 - Current
- Verified insurance coverage and eligibility for patients, ensuring compliance with policy requirements.
- Collaborated with healthcare providers to obtain necessary documentation for claims processing.
- Utilized electronic health record systems to update patient information and track verification processes.
- Resolved discrepancies in patient records by coordinating with insurance companies and internal departments.
- Streamlined verification procedures, enhancing efficiency in the intake process for new patients.
- Monitored changes in insurance regulations, adapting processes to maintain compliance and accuracy.
- 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.
- 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.
Pharmacy Technician Trainee
Kroger
11.2022 - 03.2023
- Assisted pharmacists in preparing and dispensing medications accurately.
- Maintained inventory levels, ensuring timely restocking of pharmaceuticals and supplies.
- Processed patient prescriptions using pharmacy management software efficiently.
- Educated customers on medication usage, side effects, and safety precautions.
- Conducted routine cleaning and organization of pharmacy workstations for compliance.
- Collaborated with team members to improve workflow efficiency and service quality.
STNA
Altercare Integrated Health Services
08.2021 - 11.2022
- Provided compassionate personal care to residents, ensuring comfort and dignity.
- Assisted with daily living activities, including bathing, dressing, and meal preparation.
- Monitored vital signs and reported changes in residents' health status to nursing staff.
- Maintained cleanliness and safety of living environments through regular sanitation practices.
- Trained new staff on caregiving techniques and workplace safety standards to enhance team performance.
- Collaborated with interdisciplinary teams to develop individualized care plans for residents.
- Educated families on care protocols and best practices for supporting loved ones' needs.
- Assisted with patient transfer and ambulation.
- Assisted patients in daily activities, promoting their independence and dignity.
- Implemented process improvements that increased efficiency in resident care delivery procedures.
- Kept accurate records of patients' care, condition, and progress.
- Promoted a safe environment for both patients and staff members by adhering to facility policies and procedures at all times.
- Provided assistance in daily living activities by dressing, grooming, bathing, and toileting patients.
- Maintained accurate documentation of patient care, facilitating effective communication among healthcare team members.
- Demonstrated adaptability by caring for a diverse range of patients with varying needs.
- Agreed to take on additional shifts and extra hours during busy periods and holidays to maintain proper staffing and floor coverage.
Education
High School Diploma -
New Lexington High School
New Lexington05-2016
Skills
- Attention to detail
- Patient confidentiality
- HIPAA compliance
- Insurance coverage verification
- Eligibility determination
- Communication and interpersonal skills
- Electronic medical records
- Skilled in Epic
- Medical terminology
- Patient communication
- Data security and confidentiality
- Customer service
- End-of-life care
- Dressing assistance
- Bathing assistance
- Feeding assistance
- Patient care
- Basic life support
- Ambulation assistance
- Pressure ulcer prevention
- Vital signs monitoring
- OSHA standards
- Safety measures
- Maintaining boundaries
- Confidentiality
- Toileting assistance
- Fall prevention
- Range of motion exercises
- Personal hygiene
- Reliable team player
- Bedside manner
- Collecting vital signs
- Electronic charting
- Documenting behaviors
- Patient relationship building
- Compassionate
- Patient relations
- Maintaining privacy
- Companionship and emotional support
- Adaptable
- Patient management
- Responding to emergencies
Accomplishments
Academic Distinction Award
Timeline
Insurance Verification Specialist
Genesis Healthcare
03.2023 - Current
Pharmacy Technician Trainee
Kroger
11.2022 - 03.2023
STNA
Altercare Integrated Health Services
08.2021 - 11.2022
High School Diploma -
New Lexington High School