Audra Wilson
Desoto,TX
Summary
Dedicated administrative professional with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision. Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.
Overview
12
12
years of professional experience
Work History
Insurance Verification Specialist
Steward Health Care
10.2020 - Current
- Complied with HIPAA guidelines and regulations for confidential patient data
- Assured timely verification of insurance benefits prior to patient procedures or appointments
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations
- Maintained strong knowledge of basic medical terminology to better understand services and procedures
- Achieved insurance pre-authorizations to enable timely patient procedures
- Updated patient records with accurate, current insurance policy information
- Established and maintained relationships with insurance providers for productive communications
- Communicated verification and authorization status updates with Type department to facilitate decision-making for patient admissions and insurance coverage
- Performed various administrative tasks by filing, copying and faxing documents
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
Authorization Specialist
Wadley Regional Medical Center
01.2012 - 10.2020
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
- Attended ongoing professional training to facilitate accurate and productive credit management.
- Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
- Enhanced departmental efficiency with thorough knowledge of insurance guidelines and medical terminology.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
Education
Associate Of Business Administration - Medical Billing
American InterContinental University
01.2010
Skills
- Prior Authorization Processing
- Insurance Plan Verification
- Medical Terminology
- Electronic Authorization Processing
- Collaborative Relationships
- Referral Coordination
- Insurance Terminology
- Managed Care
- CPT Coding
- Account Maintenance
- Patient Health Information Access
- Medical Records Verification
- Computer Proficiency
- Maintaining Financial Records
- Insurance Authorizations
- Patient Eligibility Requirements
- Data Entry Software
- Organization and Time Management
- Financial Clearance Management
Timeline
Insurance Verification Specialist
Steward Health Care
10.2020 - Current
Authorization Specialist
Wadley Regional Medical Center
01.2012 - 10.2020
Associate Of Business Administration - Medical Billing
American InterContinental University