ANNISSA MOORE
Clarksville,TN
Summary
Pragmatic Insurance Verification Specialist touting over 20 years of expertise in benefits explanation and coverage tracking. A team player with a vast knowledge of medical terms and working with all types of personalities effectively. Offering dynamic organizational skills and attention to detail.
Overview
21
21
years of professional experience
Work History
Insurance Verification Specialist
Home Care Delivered
10.2021 - Current
- Update patient files with benefits and appropriate flags
- Notate patient accounts with payer response, and reassign order to the correct department and/or person
- Work independently and/or collaboratively to answer inquiries and resolve issues within regulatory and company requirements to ensure customer retention and satisfaction, escalating issues whenever appropriate
- Collaborate with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
- Demonstrate a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
- Contribute to company's bottom line by reducing write-offs due to incorrect or outdated insurance information through diligent verification efforts.
- Contribute to departmental goals by consistently meeting or exceeding established performance metrics related to productivity, quality, and service excellence standards.
Care Management Support Assistant 2
Humana
03.2021 - 10.2021
- Provided Medicare Advantage members access to special clinical programs, which were designed to meet their clinical needs
- Initiated engagement and connected members with appropriate care team personnel including care managers and customer service when needed
- Demonstrated and ongoing enthusiastic and passionate presence over the telephone
- Mentored senior management of care management support assistant everyday processes
- Exercised effective verbal and written communication, along with active listening skills, organization and time management
- Investigated and identified providers or stakeholders in order to obtain missing or invalid member information
- Utilized Microsoft Teams, Microsoft OneNote, Skype, Clinical Guidance Exchange and Avaya One-X Agent Software for daily tasks.
RCS Senior Analyst - Patient Estimates
Indiana University Health
08.2018 - 08.2019
- Provided individualized prospective patient estimates related to specific healthcare services provided at Indiana University entities
- Performed independent research in conjunction with a certain estimate request
- Maintained a log of all requests to be used for productivity and quality assurance purposes
- Navigated through multiple computer systems to provide estimates (Cerner CDM Viewer, Med Assets, IDX, Passport, Insurance Websites, and Web Based Insurance Portals (Availity), Word Excel and Outlook
- Protected and maintained the confidentiality of all patient health information
- Promoted a customer focused service delivery environment
- Gained general knowledge of HCPCS, CPT, and ICD codes.
Patient Account Specialist
Heritage Medical Associates
11.2014 - 04.2018
- Obtained patient estimates for GI and OB/GYN patients
- Performed collection of accounts with insurance and private pays
- Established payment plans for patients
- Assisted customer service and account receivable departments with billing problems and concerns
- Posted balances on patient accounts for payments/non payments
- Posted insurance payments to accounts, as well as adjustments for credits/debits and account write offs
- Utilized proficiency in Allscripts PM, Allscripts Pro EHR, and Allscripts Prenatal systems
- Mentored and supported new employees through email, group and individual training.
Medical Office Specialist
Skyline Medical Group (HCD)
06.2012 - 09.2014
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Scheduled patients, completed and input intake forms, collected payments, performed insurance verifications and prior authorizations
- Scanned the patient's insurance card and identification into the practice management system
- Utilized proficiency in eClinicalWorks EHR
- Mentored and motivated new employees for front office operations.
- Facilitated effective communication between patients, healthcare providers, and insurance companies for optimal care coordination.
- Trained newly hired administrative staff members on office policies, procedures, and best practices, fostering a supportive team environment.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Reconciled daily payments received and prepared deposits for smooth office finances.
Patient Access Registration
Parallon (HCA)
10.2003 - 06.2012
- Performed patient registration upon hospital admission and outpatient procedures using Meditech software
- Verified patient insurance with Passport Onesource software for both medical and behavioral health patients for multiple hospitals
- Consulted with clinical staff to organize and schedule admission of patients
- Scanned patient information into electronic health records
- Collected patient insurance responsibility (copays, deductible, out of pocket and coinsurance)
- Provided financial counseling to patients and/or patient representatives as needed
- Trained and guided new employees on organization procedures and departmental programs.
Education
Diploma in Medical Office Specialist -
Kaplan Career Institute
Nashville, TN01.2008
Diploma in Business Technology -
Tennessee College of Applied Technology
Nashville, TN01.1999
Skills
- Attention to Detail
- HIPAA Compliance
- Insurance Coverage Verification
- Data entry proficiency
- Communication and Interpersonal Skills
- Electronic Medical Records
- Medical Terminology
- Accuracy and Precision
- Financial Counseling
- Insurance Verification
- Customer Service
- Collaborative relationships
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeLocation Preference
RemoteImportant To Me
Company CultureWork-life balanceCareer advancementPaid sick leave401k matchPaid time offFlexible work hoursWork from home optionPersonal development programsHealthcare benefitsTeam Building / Company RetreatsQuote
The real test is not whether you avoid this failure, because you won’t. It’s whether you let it harden or shame you into inaction, or whether you learn from it; whether you choose to persevere.
Barack Obama
Timeline
Insurance Verification Specialist
Home Care Delivered
10.2021 - Current
Care Management Support Assistant 2
Humana
03.2021 - 10.2021
RCS Senior Analyst - Patient Estimates
Indiana University Health
08.2018 - 08.2019
Patient Account Specialist
Heritage Medical Associates
11.2014 - 04.2018
Medical Office Specialist
Skyline Medical Group (HCD)
06.2012 - 09.2014
Patient Access Registration
Parallon (HCA)
10.2003 - 06.2012
Diploma in Medical Office Specialist -
Kaplan Career Institute
Diploma in Business Technology -
Tennessee College of Applied Technology