Charismann Valdery
Houston,Texas
Summary
Highly organized and detailed oriented with over 7 Years experience in Office Support. 10 Years experience in Office Support. 10 Years experience working directly with clients/customers. Dedicated and focused; able to prioritize and complete multiple tasks and follow through to achieve project goals.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Insurance Verification Specialist
Alliance Rx Walgreens Prime Specialty Pharmacy
10.2022 - 02.2024
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Communicated verification and authorization status updates with insurance department to facilitate decision-making for patient admissions and insurance coverage.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Answered telephone calls to offer office information, answer questions and direct calls to staff.
- Process claims daily for accurate billing
Front Office /Insurance Verification Specialist
Medinet Family Care Clinic
01.2015 - 12.2021
- Managed various general office duties such as answering multiple telephone lines, completing insurance forms and mailing monthly invoice statements to patients.
- Assessed patients and documented their medical histories.
- Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Prepared patient charts, pre-admissions and consent forms as necessary.
- Assisted maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
- Eclinicalworks and Medisoft Software
- Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
- Actively maintained current working knowledge of CPT and ICD-9 coding and ICD-10 principles, government regulation, protocols and third party requirements regarding billing.
- Verified patients' eligibility and claims status with insurance agencies.
Customer Service Representative
Rouses
02.2011 - 12.2014
- Opened and properly distributed incoming mail.
- Compiled customer feedback and recommended service delivery improvements to management.
- Communicated with vendors regarding back order availability, future inventory and special orders.
- Responded to customer requests for products, services and company information.
- Answered customer telephone calls promptly and in appropriate manner.
- Offered hands-on assistance to customers, assessing needs and maintaining current knowledge of consumer preferences.
- 'Managed over 90 customer calls per day.
Receptionist
Metairie Dodge
01.2006 - 12.2010
- Directed guests and routed deliveries and courier services.
- Answered and managed incoming and outgoing calls while recording accurate messages.
- Opened and properly distributed incoming mail.
- Maintained clean reception area, including lounge and associated areas.
- Managed office supplies, vendors, organization and upkeep.
- Routed incoming mail and messages to relevant personnel without delay.
- Politely assisted customers in person and via telephone.
Education
Associate of Arts - Business Marketing
Houston Community College
Houston, TXSkills
- Accurate and detailed
- Excellent communication skills
- Advanced clerical knowledge
- Medical terminology knowledge
- Patient scheduling
- Prior authorization processing
Certification
Certified Health Information Specialist Medical Billing and Coding 9910 Cash Rd. Stafford, Tx 77477 Houston Community College
Professional License Makeup Artist Tranformation Studio 3425 Hwy6 #107a Sugarland,Tx 77478
Timeline
Insurance Verification Specialist
Alliance Rx Walgreens Prime Specialty Pharmacy
10.2022 - 02.2024
Front Office /Insurance Verification Specialist
Medinet Family Care Clinic
01.2015 - 12.2021
Customer Service Representative
Rouses
02.2011 - 12.2014
Receptionist
Metairie Dodge
01.2006 - 12.2010
Associate of Arts - Business Marketing
Houston Community College
Certified Health Information Specialist Medical Billing and Coding 9910 Cash Rd. Stafford, Tx 77477 Houston Community College
Professional License Makeup Artist Tranformation Studio 3425 Hwy6 #107a Sugarland,Tx 77478
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