Carole-Anne Capak
Insurance clearance
Patchogue,NY
Summary
Adept in understanding all insurance products and plans to expedite verification processes. Friendly Insurance Verification Specialist promoting a background in keeping sensitive patient data confidential while maintaining knowledge of Medicaid and private policy benefits. Possessing great relationship building and communication skills. Looking to tackle new challenges with a company that values dynamic skills and a strong work ethic.
Overview
11
11
years of professional experience
Work History
Patient Access Representative
Long Island Community Hospital
04.2022 - Current
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Responded to inquiries by directing calls to appropriate personnel.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Streamlined patient registration processes by implementing efficient data collection methods and reducing wait times.
Insurance Verification Specialist
Long Island Community Hospital
07.2015 - Current
- Updated all patient and insurance data regularly and carefully inputted changes into company's computer system
- Retained strong medical terminology understanding in effort to better comprehend procedures
- Verified that patients had proper insurance coverage prior to any procedures or appointment scheduling.
- Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Assisted in training new employees on best practices for efficient insurance verification processes and procedures.
- Performed various administrative tasks by filing, copying and faxing documents.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Minimized delays in treatment scheduling by promptly identifying potential coverage issues and working proactively towards their resolution.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during verification process.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Established and maintained relationships with insurance providers for productive communications.
- Updated patient records with accurate, current insurance policy information.
- Maintained up-to-date knowledge of industry trends, changes in regulations, and benefit updates to provide accurate guidance to clients.
- Demonstrated high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
- Developed and maintained courteous and effective working relationships.
- Paid attention to detail while completing assignments.
- Learned and adapted quickly to new technology and software applications.
Front Desk Clerk
Stony Brook Heart Associates
02.2013 - 07.2015
- Maintained clean and presentable reception area to maintain professional business reputation
- Scheduled and confirmed appointments
- Provided exceptional customer service through effective telephone communication and follow-ups
- Delivered administrative support to team members, including making copies, sending faxes, organizing documents and rearranging schedules
- Provided clerical support to all team members to improve office efficiency and enhance productivity.
Education
Some College (No Degree) - Medical Assisting
BOCES
Westbury, NYSkills
- Registration and Admissions
- Health Information Access Management
- Benefits Explanation
- Administrative and Office Support
- Explaining Policy and Procedures
- Multi-Line Telephone Systems
- Patient interviewing
- Communicating to Patients and Families
- Patient Registration
- Resolving Problems
- Professional Bedside Manner
- Caring and Empathetic
- Patient documentation
- Safety Monitoring
- Patient check-in
- Multitasking and Organization
- Eligibility Determination
- Providing Information and Resources
- Insurance Verification
- Customer Service
- Team Collaboration
- EMR
- Gathering Information from Patients
- HIPAA Compliance
- Attention to Detail
- Data Collection
- Patient Confidentiality and Data Security
- Insurance Authorizations
- Relationship Building
- Flexible Schedule
- Problem-Solving
- Documenting and Recording Information
- Insurance verifying
- Medical insurance
- EMR Updating
- Phone and Email Etiquette
- Clerical and Filing Support
- Building Rapport and Credibility
- Punctual and Hardworking
I enjoy reading and learning sign language
I relax when reading books on various topics, including mysteries, history of certain countries and cook books. I am currently enrolled in a beginners sign language class. I have had an interest in ASL since I was in elementary school and we had a few students who were deaf. I have always wanted to increase my knowledge of ASL.
Timeline
Patient Access Representative
Long Island Community Hospital
04.2022 - Current
Insurance Verification Specialist
Long Island Community Hospital
07.2015 - Current
Front Desk Clerk
Stony Brook Heart Associates
02.2013 - 07.2015
Some College (No Degree) - Medical Assisting
BOCES
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