Dedicated medical receptionist with expertise in insurance verification and appointment scheduling. Proven ability to maintain HIPAA compliance and ensure data accuracy, delivering exceptional customer service and support.
Overview
10
10
years of professional experience
Work History
Medical Receptionist
OSTC
Wichita Falls, Texas
12.2016 - 09.2026
Greeted patients warmly and coordinated appointment scheduling to enhance patient flow.
Answered phone calls and resolved inquiries promptly to support patient satisfaction.
Checked patient insurance information for accurate billing.
Updated patient records in electronic health record systems.
Insurance Verification Specialist
OSTC
Wichita Falls, Texas
07.2022 - 01.2025
Verified patients' insurance coverage to ensure eligibility for procedures and appointment scheduling.
Verified insurance eligibility for patients before scheduled procedures.
Communicated with insurance companies to obtain necessary authorizations.
Coordinated with insurance carriers, patients, and third parties to confirm insurance benefits for patient accounts.
Reviewed patient accounts for accuracy and completeness of insurance information.
Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into the system.
Updated electronic health records with verified insurance details promptly.
Entered patient insurance data into electronic records for accuracy. in EMR database to record payer, authorization requirements and coverage limitations.
Documented pre-authorization requests, denials, and appeals accurately to support compliance and audit readiness.
Collaborated with internal staff members such as Billing Specialists, Medical Coders to resolve any discrepancies in patients' insurance information.
Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
Navigated through multiple online systems to obtain documentation.
Examined insurance claims to ensure proper coverage approval., records and procedures to grant approval of coverage.
Conducted regular audits of patient accounts for accuracy of demographic data.
Maintained confidentiality of patient information to protect privacy rights. of patient information in accordance with HIPAA regulations.
Participated in training sessions on new software programs used for verification purposes.