Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
13
13
years of professional experience
Work History
Insurance Verification Specialist
Skin Specialists
Allen, TX
10.2022 - Current
Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
Responded promptly to customer inquiries regarding their benefits and eligibility status.
Adhered to HIPPA requirements while I communicated with patients with compassion while keeping medical information private.
Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
Completed day-to-day duties accurately and efficiently.
Provided excellent service and attention to customers when face-to-face or through phone conversations.
Validator (Medical Claims Auditor)
Cotiviti
Sherman, TX
01.2017 - 04.2022
Audited claims for accuracy and eligibility.
Identified when the insurance company has overpaid or incorrectly paid a medical claim.
Made outbound calls to healthcare providers and insurance companies for coordination of benefit purposes.
Mentored new hires.
Customer Service Advocate (Dental)
Cigna
Denison, TX
04.2012 - 11.2015
Managed incoming calls from customers, healthcare providers and other insurance companies in a professional manner.
Answered inquires on policy coverage and dental claims.
Accurately documented, researched, and resolved customer service issues.
Followed up on customer inquiries not immediately resolved.
Managed high call volume with tact and professionalism.
Receptionist
The Salvation Army
Sherman, TX
07.2010 - 03.2012
Answered incoming calls, took messages, and transferred calls to appropriate departments or personnel.
Greeted visitors entering establishment to determine nature and purpose of visit.
Oversaw office inventory by restocking supplies and submitting purchase orders.
Delivered administrative support to team members by managing all incoming mail distribution, courier services, faxes, and photocopying documents as requested.
Performed data entry tasks into various computer systems accurately and promptly.
Maintained an organized filing system of confidential client information in accordance with company policy.
Maintained a neat reception area by organizing materials and tidying up furniture.