Highly motivated individual with a strong foundation in customer service and a commitment to accuracy, seeking an Insurance Verification Specialist position to contribute to a smooth and efficient billing process by verifying patient benefits and obtaining necessary authorizations.
Overview
25
25
years of professional experience
Work History
Customer Associate
UChicago Medicine Ingalls Memorial
09.2001 - Current
Effectively manages high volumes of inbound calls by assisting patients with their scheduling needs in the EPIC system.
Work with physician offices to troubleshoot issues regarding invalid or 'dirty orders'.
Obtain and verify the patient’s current insurance policy at the time of scheduling using RTE verification program.
Generates the patient’s estimated out-of-pocket portion and collects Point of Service (POS).
Obtain secondary insurance information and complete the Medicare Secondary Payer Questionnaire (MSPQ) for all Medicare patients to coordinate benefits efficiently.
Ensure Medicare denials are minimized by verifying that the outpatient diagnostic procedure meets the criteria established by Medicare guidelines.
Inform self-pay patients of the various assistance programs and redirect to the appropriate Financial Counselor based on the location of the procedure.
Serves as a department super-user by attending training sessions of new or updated programs and relay information and updates back to the team.
Assist with the departmental training of new team members.
Exceeded daily KPIs through exceptional communication skills and proactive problem-solving abilities.
Stretching beyond assigned duties when needed for smooth business operations.
Participating actively in team meetings sharing insights that contribute to continuous improvement efforts.
Human Resources Assistant
UChicago Medicine Ingalls Memorial
01.2001 - 01.2003
Filtered heavy volume of incoming calls to appropriate recruiter.
Screened applicant resumes and coordinated both phone and in-person interviews.
Administered job placement test to prospective candidates.
Collected and processed new hire documents for incoming employees.
Verified employment status of past and current employees.
Efficiently managed personnel files, maintaining confidentiality while keeping records up-to-date and organized.
Education
Bachelor of Science - Business Administration
LIBERTY UNIVERSITY
Lynchburg, VA
07.2025
Associate of Applied Science - Computerized Accounting
ROBERT MORRIS COLLEGE
Orland Park, IL
09.1993
Skills
EPIC
Passport OneSource
Real-time eligibility (RTE) systems
HDX Insurance verification
EDM
Microsoft Office
Access
Excel
Outlook
PowerPoint
Word
Timeline
Customer Associate
UChicago Medicine Ingalls Memorial
09.2001 - Current
Human Resources Assistant
UChicago Medicine Ingalls Memorial
01.2001 - 01.2003
Bachelor of Science - Business Administration
LIBERTY UNIVERSITY
Associate of Applied Science - Computerized Accounting