Dynamic Insurance Verification Specialist with proven success at Selective Healthcare, specializing in accurate insurance claims processing and effective patient communication. Demonstrates strong skills in medical record review and appointment scheduling, consistently delivering outstanding customer service while adhering to confidentiality standards. Bilingual in English and Spanish, enhancing accessibility for diverse patient populations.
Overview
27
27
years of professional experience
Work History
Insurance Verification Specialist
Selective Healthcare
Coral Springs, FL
06.2011 - 02.2024
Coordinated with the billing department to ensure correct insurance information is applied to claims.
Responded promptly to customer inquiries regarding their benefits and eligibility status.
Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
Scheduled tests, lab work or x-rays for patients based on physician orders.
Updated patient and insurance data and input changes into company computer system.
Responded to patient inquiries regarding insurance coverage and billing issues.
Assisted in training new staff on insurance verification procedures and best practices.
Maintained confidentiality of patient information in accordance with HIPAA regulations.
Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
Communicated with patients with compassion while keeping medical information private.
Contacted patients to confirm demographic information and communicate financial responsibilities.
Arranged hospital admissions for patients as required.
Monitored and tracked the status of pending insurance verifications and authorizations.
Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
Greeted patients, determined purpose of visit and directed to appropriate staff.
New Patient Coordinator
Atlanta Neurological Associates
Atlanta, GA
07.2006 - 04.2010
Organized New Patient charts.
Assembled necessary insurance data in advance of scheduled visits.
Ensured current and precise information in the computer system.
Received and routed care team messages and documents to appropriate staff.
Monitored incoming calls routed through automated phone systems and transferred calls accordingly.
Maintained a high level of customer service while interacting with both internal staff and external customers.
Provided detailed explanations of insurance coverage and payment options to new patients.
Processed patient intake information and updated medical records prior to treatment.
Facilitated communication between patients and healthcare teams, acting as a primary point of contact.
Updated patient demographic information in accordance with changes made during each visit.
Receptionist
Chez Hair
Pompano Beach, FL
04.1997 - 06.2005
Served visitors by greeting, welcoming and directing to appropriate personnel.
Monitored office supplies inventory and placed orders when necessary.
Reviewed and approved billing invoices and expense reports.
Scheduled all spa service appointments for individual and group bookings.
Performed thorough validation of end-of-day financial reports for credit and cash profitability consistency.
Handled financial transactions with perfect precision.
Oversaw contract statuses and product delivery schedules.