Carla Anderson
White Marsh,MD
Summary
Dedicated Insurance Verification Specialist with extensive experience in patient communication and data accuracy. Proven ability to coordinate verifications and educate patients on coverage details.
Overview
2026
2026
years of professional experience
Work History
Insurance Verification Specialist
Johns Hopkins University
White Marsh, Maryland
01.1999 - 04.2025
- Verified insurance eligibility for patient procedures and services.
- Communicated with insurance companies to obtain necessary approvals.
- Reviewed patient information for accuracy and completeness before submission.
- Coordinated with healthcare providers to resolve insurance-related issues.
- Educated patients on insurance coverage and benefits available to them.
- Assisted in training new staff on verification processes and systems used.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
- Entered data in EMR database to record payer, authorization requirements and coverage limitations.
- Accessed third-party insurance databases to identify coverage of benefits.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Contacted patients to confirm demographic information and communicate financial responsibilities.
- Identified discrepancies in patients' insurance coverage or benefits, ensuring accuracy of data entered into system.
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Evaluated policies and procedures related to Insurance Verification activities.
- Contacted patients to arrange payment arrangements for deductible and out-of-pocket liability.
- Responded promptly to customer inquiries regarding their benefits and eligibility status.
- Participated in training sessions on new software programs used for verification purposes.
- Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
- Examined claims, records and procedures to grant approval of coverage.
- Researched third party payer guidelines related to prior authorizations, coding and billing processes.
- Provided timely follow up with payers regarding payment status of claims.
- Liaised between physician, site of service and billing department to obtain appropriate documentation.
- Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
- Conducted regular audits of patient accounts for accuracy of demographic data.
- Monitored changes in government regulations affecting healthcare reimbursement systems.
- Maintained confidentiality of patient information in accordance with HIPAA regulations.
- Resolved insurance-related issues and discrepancies to prevent claim denials.
- Managed multiple tasks and priorities in a high-volume, fast-paced environment.
- Developed and maintained professional relationships with insurance representatives.
- Responded to patient inquiries regarding insurance coverage and billing issues.
- Coordinated with the billing department to ensure correct insurance information is applied to claims.
- Collaborated with healthcare providers to communicate insurance coverage and authorization details.
- Educated patients on their insurance benefits and coverage limitations.
- Ensured compliance with federal and state regulations regarding insurance verification.
- Liaised with insurance companies to obtain pre-authorizations for procedures and medications.
- Conducted follow-ups with insurance companies to expedite verification processes.
- Monitored and tracked the status of pending insurance verifications and authorizations.
- Scheduled and confirmed patient appointments and consultations.
Physician OR Scheduler
Kernan Hospital
Gwynn Oak, Maryland
1985 - 1999
- Utilized electronic health records to document patient interactions accurately.
- Maintained detailed records of all diagnoses, treatments, medications, test results and other information related to patient care.
- Facilitated clear communication among staff, colleagues, and healthcare providers to enhance teamwork.
- Collaborated with other healthcare professionals to coordinate optimal care for each patient.
- Ordered laboratory tests and reviewed results with patients.
- Managed physician calendars to ensure optimal patient flow and resource allocation.
- Communicated with staff to confirm and adjust daily schedules as needed.
- Resolved scheduling conflicts promptly to maintain smooth operations and patient care continuity.
- Coordinated with healthcare teams to align schedules with departmental priorities and optimize resource use.
Front Desk Receptionist
Braxton & Carter Health Center
White Marsh, Maryland
1978 - 1985
- Greeted patients and visitors with a warm and welcoming demeanor.
- Managed appointment scheduling for multiple healthcare providers efficiently.
- Answered phone calls and directed inquiries to appropriate staff members.
- Maintained patient records and ensured data accuracy in the system.
- Processed patient admissions and verified insurance information to ensure smooth patient intake.
- Coordinated communication between patients and medical personnel effectively.
- Distributed incoming mail to relevant departments promptly to facilitate efficient communication.
- Organized waiting areas to ensure a comfortable environment for patients.
- Provided excellent customer service by responding quickly to inquiries via phone or email in a professional manner.
- Maintained an organized reception area and ensured that all guests were attended to promptly.
- Performed data entry into computer systems to maintain accurate records of customer information.
- Handled payment processing and provided customers with receipts and proper bills and change.
- Provided administrative support such as filing documents, photocopying and scanning materials.
- Addressed customer complaints and issues promptly by following established protocols to maintain service quality.
- Handled cash transactions accurately, balancing the register at the end of each shift.
- Explained policies and procedures to visitors.
- Completed basic bookkeeping and document filing.
- Prepared daily shift close reports and balanced cash register to accurately reflect transactions.
- Signed for packages, recorded deliveries, and distributed to personnel.
- Managed incoming and outgoing mail, courier services, faxes and other correspondence.
- Responded to inquiries and room requests made online, by phone, and via email.
- Worked with housekeeping and maintenance staff to address and resolve building and room issues.
- Input customer data into reservation systems and updated to reflect room changes.
- Monitored deliveries of office supplies to ensure timely arrival.
- Verified identity documents for new customers before opening accounts in accordance with company policies.
- Reconciled daily financial transactions against cash receipts at the end of each day's business activity.
- Prepared conference rooms prior to meetings by arranging furniture layout, setting up audio-visual equipment and ensuring refreshments are available if required.
- Answered multi-line telephone with polite tone of voice to provide general information and answer inquiries.
Education
High School Diploma -
Frederick Douglass High School
Baltimore, MD01-1973
Some College (No Degree) - Early Childhood Care and Education
Coppin State University
Baltimore, MDAffiliations
- Part time Event& Catering assistant as needed
Custom Section 2
- Part-Time Funeral and Repass Coordinator for The NewMetropolitan Baptist Church
- Part time Assistant Coordinator for the Feeding and food Distribution Ministry at the New Metropolitan Baptist Church
Timeline
Insurance Verification Specialist
Johns Hopkins University
01.1999 - 04.2025
Physician OR Scheduler
Kernan Hospital
1985 - 1999
Front Desk Receptionist
Braxton & Carter Health Center
1978 - 1985
High School Diploma -
Frederick Douglass High School
Some College (No Degree) - Early Childhood Care and Education
Coppin State University