Amber McHenry
Dallas
Summary
Dynamic Insurance Verification Specialist with a proven track record at Parkland Hospital, excelling in insurance coverage verification and patient communication. Recognized for enhancing operational efficiency and achieving timely pre-authorizations, while maintaining strict HIPAA compliance. Strong attention to detail and interpersonal skills fostered improved patient satisfaction and streamlined processes.
Diligent Payor Specialist 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.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Insurance Verification Specialist
Parkland Hospital
06.2023 - Current
- Conducted insurance eligibility verification to ensure patient coverage and minimize claim denials.
- Processed pre-authorization requests efficiently, collaborating with healthcare providers for timely approvals.
- Reviewed and updated patient information in electronic health records for accuracy and compliance.
- Educated patients on insurance benefits, addressing inquiries to enhance understanding of coverage options.
- Coordinated with billing department to resolve discrepancies between insurance claims and patient accounts.
- Implemented workflow improvements that streamlined verification processes and enhanced operational efficiency.
- Monitored changes in healthcare regulations to maintain compliance and optimize verification procedures.
- 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.
- 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.
- Coordinated with care teams across various departments to ensure seamless integration of verified coverage information into overall treatment planning.
- Reduced errors in billing by accurately maintaining patient records with updated insurance information.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
- Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Optimized productivity within the department by prioritizing tasks according to urgency and importance levels.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Prepared and processed patient referrals and transfer requests.
- Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
Shift Manager
Golden Chick
01.2021 - 05.2024
- Supervised daily operations to ensure efficient workflow and high-quality service delivery.
- Trained and mentored team members on operational procedures and best practices.
- Implemented inventory management systems to optimize stock levels and reduce waste.
- Monitored staff performance, providing feedback to enhance productivity and morale.
- Resolved customer complaints promptly, maintaining positive relationships and satisfaction levels.
- Coordinated with upper management to align operational strategies with company goals.
- Handled escalated customer issues effectively, demonstrating strong problem-solving skills while upholding company values and standards.
- Trained new employees on company policies, procedures, and job responsibilities, ensuring seamless integration into the team.
- Trained and mentored new employees to maximize team performance.
- Promoted a positive work environment through open communication and constructive feedback.
- Supervised employees and oversaw quality compliance with company standards for food and services.
- Kept employees operating productively and working on task to meet business and customer needs.
- Worked closely with team members to schedule breaks and shifts to meet state regulations.
- Excelled in every store position and regularly backed up front-line staff.
Cashier
McDonald's Restaurant
12.2020 - 05.2023
- Processed customer transactions accurately and efficiently using point-of-sale systems.
- Assisted in inventory management by restocking merchandise and organizing displays.
- Resolved customer inquiries promptly, enhancing overall shopping experience.
- Collaborated with team members to maintain cleanliness and organization of checkout area.
- Monitored cash drawer for discrepancies, ensuring financial accuracy at end of shift.
- Implemented strategies to reduce wait times during peak hours, improving service efficiency.
- Developed strong relationships with regular customers, fostering loyalty and repeat business.
- Greeted customers entering store and responded promptly to customer needs.
- Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
Education
MEDICAL ASSITANCE CERTIFICATION - MEDICAL ASSITANCE (FRONT AND BACK OFFICE)
Kaplan College
ARLINGTON TX 05-2012
Skills
- Attention to detail
- Patient confidentiality
- HIPAA compliance
- Insurance coverage verification
- Data entry proficiency
- Eligibility determination
- Data entry and review
- Coverage and authorizations
- Communication and interpersonal skills
- Patient contact
- Medical terminology
- Patient communication
- Customer service
- Referral coordination
- Medicaid
- Insurance benefits verification
- Insurance terminology
Certification
- CMAA - Certified Medical Administrative Assistant
Languages
English
Full Professional
Spanish
Limited Working
Timeline
Insurance Verification Specialist
Parkland Hospital
06.2023 - Current
Shift Manager
Golden Chick
01.2021 - 05.2024
Cashier
McDonald's Restaurant
12.2020 - 05.2023
MEDICAL ASSITANCE CERTIFICATION - MEDICAL ASSITANCE (FRONT AND BACK OFFICE)
Kaplan College