Arniecia Lockett
Houston,TX
Summary
Skilled Insurance Verification Specialist with experience in verifying insurance coverage, understanding policies, and processing claims. Strengths include strong analytical skills, attention to detail, and ability to work under pressure. Proven record of improving efficiency in handling claims and enhancing customer satisfaction through timely resolution of disputes and issues.
Overview
8
8
years of professional experience
Work History
Sr Insurance Verification Specialist
Baylor College of Medicine Medical Center
Houston, TX
01.2023 - Current
- Responded promptly to customer inquiries regarding their benefits and eligibility status.
- Verified patient coverage prior to appointment scheduling.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
- Participated in training sessions on new software programs used for verification purposes.
- Maintained confidentiality of patient information in accordance with HIPAA regulations.
- Assisted in resolving claim issues related to billing and reimbursement inquiries.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Processed payments from patients, including cash, check, or credit card transactions.
- Educated patients on available payment plans and financial assistance options.
- Performed administrative tasks such as filing, faxing documents, copying materials, and other clerical duties as needed.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
Insurance Verification Specialist
Preventice Solutions
Houston, TX
08.2019 - 12.2022
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Ensured accuracy of patient information by verifying orders with physician documentation prior to beginning any procedure.
- Updated patient accounts with insurance verification information to ensure accurate billing.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
- Conducted follow-ups with insurance companies to expedite verification processes.
- Utilized electronic medical records (EMR) systems for documenting verification processes.
- Ensured compliance with federal and state regulations regarding insurance verification.
- Managed multiple tasks and priorities in a high-volume, fast-paced environment.
- Verified patient insurance coverage, benefits, and eligibility for services across multiple insurance platforms.
Appeals and Grievances Coordinator
Cigna
Houston, TX
09.2018 - 06.2019
- Prepared written responses to customers regarding the status of their appeal or grievance filings.
- Reviewed documents submitted by customers in support of their claims before they are entered into the system.
- Assessed customer complaints to determine eligibility for appeal or grievance filing.
- Collaborated with health care providers, members, and other stakeholders to resolve issues in a timely manner.
- Provided education on the appeals process to staff members as needed.
- Verified that all documentation was complete before rendering a final decision.
Financial Clearance Coordinator
MD Anderson Cancer Hospital
Houston, TX
05.2017 - 07.2018
- Managed day-to-day operations of the department including scheduling tasks and assigning duties.
- Processed patient admissions, registrations, transfers, and discharges according to established procedures.
- Answered phones promptly in a professional manner.
- Maintained confidentiality of patient information in compliance with HIPAA regulations.
- Created new patient accounts in EMR system as needed.
- Assisted with scheduling outpatient appointments.
- Performed pre-registration functions such as verifying demographic information, obtaining authorizations, and collecting deposits and co-payments.
- Verified insurance coverage for services provided by the facility.
- Collected co-pays and other payments from patients at time of service.
- Processed patient responsibility estimate determined by insurance at pre-registration.
Education
High School Diploma -
Dwight D Eisenhower High School
Houston, TX05-2007
Skills
- Insurance verification
- Claims processing
- Medical terminology
- Electronic medical records
- Customer service
- Documentation management
- Prior authorization processing
- HIPAA compliance
Timeline
Sr Insurance Verification Specialist
Baylor College of Medicine Medical Center
01.2023 - Current
Insurance Verification Specialist
Preventice Solutions
08.2019 - 12.2022
Appeals and Grievances Coordinator
Cigna
09.2018 - 06.2019
Financial Clearance Coordinator
MD Anderson Cancer Hospital
05.2017 - 07.2018
High School Diploma -
Dwight D Eisenhower High School
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