Dynamic insurance verification specialist with proven success at HCA Houston Healthcare Tomball, adept at reducing claim denials through meticulous policy research. Skilled in HIPAA compliance and customer service, I excel in managing high-volume caseloads while ensuring accurate coverage verification and timely authorizations, enhancing operational efficiency and client satisfaction.
Experienced with verifying insurance information and maintaining accurate patient records. Utilizes strong analytical skills and attention to detail to resolve coverage issues efficiently. Knowledge of healthcare systems and insurance protocols ensures smooth processing and customer satisfaction.
Utilized advanced software tools for efficient management of client records, policy information, and claim statuses.
Managed high-volume caseloads efficiently while maintaining strict deadlines for completing verifications and processing claims.
Acquired billing information by worker's compensation accounts and MVA.
Verified all patient demographic information when registering for services.
Strengthened relationships between insurers, clients, and healthcare providers through clear communication and timely resolution of disputes or inquiries.
Safeguarded client privacy by adhering to stringent HIPAA regulations in all aspects of work responsibilities.
Reduced claim denials by diligently researching and resolving discrepancies in policy information.
Streamlined the verification process with meticulous attention to detail, ensuring accurate data entry and documentation.
Ensured timely referrals for specialty care or diagnostic tests by verifying coverage and obtaining necessary preauthorizations.
Demonstrated expertise in various insurance plans, including HMOs, PPOs, and government-sponsored programs, ensuring accurate verification for diverse client populations.
Maintained up-to-date knowledge of industry regulations, changes, and trends through continuous professional development.
Expedited claim processing by promptly obtaining necessary pre-authorizations for medical procedures.
Contributed to company''s growth through consistent achievement of performance metrics related to accuracy, speed, and customer satisfaction ratings.
Supported billing department by verifying coverage details to ensure correct invoicing of clients and prompt payment from insurers.
Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
Obtained payments from patients and scanned identification and insurance cards.
Registered Nurse-Well Baby Nursery/NICU II at HCA Houston Healthcare TomballRegistered Nurse-Well Baby Nursery/NICU II at HCA Houston Healthcare Tomball