Experienced Benefits Verification Specialist with a strong background in managing patient data, interpreting insurance policies, and enhancing process efficiencies. Adept at leveraging healthcare IT systems to streamline operations. Known for exceptional organizational skills and the ability to maintain confidentiality while delivering top-notch service to patients and providers.
Overview
23
23
years of professional experience
Work History
Benefits Verification Specialist
Coram Alternate Site Services
Rancho Cordova, CA
12.2020 - Current
Proficient in using Teams, WebEx, Microsoft Office, Cerner, EPIC, and Salesforce.
Maintained accurate records of all verification activities in a timely manner.
Adhered to HIPAA regulations when handling confidential patient information.
Attended training sessions on new policies or procedures related to benefit verifications.
Managed daily workloads while meeting deadlines set by management.
Initiated contact with insurance companies as necessary to obtain additional information needed for verification purposes.
Communicated effectively via email, phone, and face-to-face with plan participants to resolve issues pertaining to health and welfare benefits.
Assisted customers with questions regarding their eligibility status, or benefit coverage.
Provided detailed information about insurance plans and benefits to health care providers, patients, and staff members.
Worked closely with internal teams, such as the billing department and utilization management team, to resolve any issues related to benefit verifications.
Reviewed and verified the eligibility of patients for benefits coverage.
Financial Advocate
NorthBay Cancer Center
Vacaville, CA
03.2007 - 12.2020
Answered inquiries, scheduled and cancelled appointments, updated patient demographics and insurance.
Supported patients in obtaining access to government and charity care programs.
Coordinated referral and authorization processes independently.
Experienced in utilizing various computer systems such as Microsoft Office, Cerner, EPIC, and Salesforce.
Processed referrals to outside specialists and obtained treatment authorization for those services when necessary
Handled cash with precision and ensured accurate reconciliation.
Coordinated prompt and precise referrals to ensure patient access to health care services.
Provided technical assistance in understanding various insurance policies.
Collaborated with clinical and administrative staff to meet patient needs.
Stayed current on community-based resources and services useful to patients.
Verified patients' insurance and payment methods during admissions or check-in processes.
Developed trust with patients, ensuring optimal care and satisfaction.
Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
Counselled patients on potential financial liabilities and payment requirements.
Provided excellent service and attention to customers when face-to-face or through phone conversations.
Worked effectively in team environments to make the workplace more productive.
Identified needs of customers promptly and efficiently.
Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
Patient Support Specialist
NorthBay Cancer Center
Fairfield, CA
07.2005 - 03.2007
Processed referrals to outside specialists and obtained necessary treatment authorization
Experience answering multi-line telephones
Assisted in collection and reporting of statistical data (patient no-show, number of patients seen, rescheduled, etc.)
Provided high level customer service in a busy office environment
Cash handling, reconciliation, and preparation of deposits
Registration and insurance verification of eligibilities and benefits
Provided any other duties as assigned
Facilitated communications between office staff, physicians, nurses, payers, vendors.
Assisted with scheduling patient appointments and follow-up visits.
Answered multi-line phone system and accurately routed calls to correct individuals.
Verified patient insurance coverage and eligibility for services.
Performed data entry of patient information into electronic health records systems.
Provided customer service to patients and their families, responding to inquiries in a timely manner.
Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
Worked effectively in team environments to make the workplace more productive.
Provided excellent service and attention to customers when face-to-face or through phone conversations.
Clinic Access Specialist
NorthBay Rehabilitation Services Department
Fairfield, CA
06.2001 - 07.2005
Completed general administrative duties including chart preparation and scheduling.
Verified insurance eligibility and benefits for accuracy.
Handled multi-line telephone systems efficiently.
Managed department filing systems efficiently.
Managed bookkeeping tasks, including cash handling and deposit preparation.
Verified patients' insurance and payment methods during admissions or check-in processes.
Secured informed consent and processed payment documentation from patients.
Counselled patients on potential financial liabilities and payment requirements.
Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
Education
Medical Billing & Terminology -
Solano Community College
Cordelia, CA
Clerical Training -
Fairfield Adult School
Fairfield, CA
Diploma -
Capital High School
Boise, ID
Skills
Proficient in EPIC, Cerner, and Salesforce
Communication (MS Teams/WebEx)
Medical Terminology
Outpatient Referral Coordination
Microsoft Office
Data Entry Precision
Healthcare Benefits Explanation
Patient confidentiality
Documentation and reporting
Benefits interpretation
Proficient in EPIC, Cerner, and Salesforce
Healthcare benefits
Accuracy and precision
Special projects
Verbal and written communication
Timeline
Benefits Verification Specialist
Coram Alternate Site Services
12.2020 - Current
Financial Advocate
NorthBay Cancer Center
03.2007 - 12.2020
Patient Support Specialist
NorthBay Cancer Center
07.2005 - 03.2007
Clinic Access Specialist
NorthBay Rehabilitation Services Department
06.2001 - 07.2005
Medical Billing & Terminology -
Solano Community College
Clerical Training -
Fairfield Adult School
Diploma -
Capital High School
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