Autumn Hickey
Mineral Wells,TX
Summary
Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease. I like to seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. I'm Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. I'm Detail-oriented team player with strong organizational skills. I have the ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
3
3
years of professional experience
Work History
Insurance Verification Specialist
Kell West Regional Hospital LLC
01.2021 - 02.2024
- Chased insurance companies to achieve accurate and timely payments.
- Communicated verification and authorization status updates with [Type] department to facilitate decision-making for patient admissions and insurance coverage.
- Established and maintained relationships with insurance providers for productive communications.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Optimized productivity within the department by prioritizing tasks according to urgency and importance levels.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Conducted regular audits of processed claims, identifying areas for improvement and making recommendations to enhance overall efficiency and accuracy.
- Updated patient records with accurate, current insurance policy information.
- Developed strong relationships with insurance representatives, facilitating smooth communication channels for resolving inquiries or disputes.
- Trained new staff on current, correct insurance verification procedures.
- Processed medical insurance claims and payments.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Reduced errors in billing by accurately maintaining patient records with updated insurance information.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Obtained payments from patients and scanned identification and insurance cards.
- Coordinated with care teams across various departments to ensure seamless integration of verified coverage information into overall treatment planning.
- Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
- Assisted in training new employees on best practices for efficient insurance verification processes and procedures.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Expedited patient registration process by efficiently validating eligibility for various insurance plans.
- Prepared and processed patient referrals and transfer requests.
- Performed various administrative tasks by filing, copying and faxing documents.
- Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
- Conducted patient intake interviews, recording and documenting relevant information.
- Gained extensive knowledge in data entry, analysis and reporting.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Demonstrated strong organizational and time management skills while managing multiple projects.
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
- Participated in team projects, demonstrating an ability to work collaboratively and effectively.
- Self-motivated, with a strong sense of personal responsibility.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Worked well in a team setting, providing support and guidance.
- Paid attention to detail while completing assignments.
- Resolved problems, improved operations and provided exceptional service.
- Learned and adapted quickly to new technology and software applications.
- Demonstrated creativity and resourcefulness through the development of innovative solutions.
- Excellent communication skills, both verbal and written.
- Developed and maintained courteous and effective working relationships.
- Demonstrated a high level of initiative and creativity while tackling difficult tasks.
Education
GED -
Mineral Wells High School
Mineral Wells, TX06.2006
Skills
- Eligibility Determination
- Patient confidentiality
- Preparing Treatment Rooms
- Epic Systems
- Data Entry and Review
- Computer Proficiency
- Insurance Coverage Verification
- Medical Terminology
- Patient Eligibility Requirements
- Data review
- Meditech
- Clerical Support
- Documentation Review
- Coverage and Authorizations
- Insurance Billing
- Patient Health Information Access
- Problem-Solving
- Patient Billing
- Communication and Interpersonal Skills
- CPT Coding
Timeline
Insurance Verification Specialist
Kell West Regional Hospital LLC
01.2021 - 02.2024
GED -
Mineral Wells High School