CHARLES GRAVES
Insurance Verification Specialist
Richmond,TX
Summary
Dynamic healthcare administration professional with extensive expertise in insurance verification and patient registration. Successfully manages high-volume patient interactions while streamlining workflows to enhance operational efficiency and elevate patient satisfaction. A strong foundation in military medical operations underscores a commitment to compliance and delivering exceptional, patient-centered service. Proven track record of fostering collaborative environments that prioritize organizational goals and individual patient needs.
Overview
16
16
years of professional experience
Work History
Driver / Dispatcher
Safe Delivery Guys
07.2020 - Current
- Deliver 150-200 packages per shift with 99% accuracy.
- Ensured compliance with DOT and company safety protocols to uphold operational standards.
- Resolved delivery issues through effective communication with customers and dispatch.
- Employed handheld systems for real-time tracking and precise data entry.
- Delivered packages for Amazon delivery service provider
Insurance Verification Specialist
Healix Infusion Therapy
09.2015 - 10.2026
- Executed advanced insurance eligibility verification and benefits review to ensure accurate patient coverage.
- Processed prior authorizations for commercial, Medicare, Medicaid, and specialty plans.
- Interpreted payer policies and medical necessity criteria.
- Communicated with patients regarding financial responsibility and coverage.
- Documented verification outcomes in EMR/EHR systems.
- Collaborated with interdisciplinary teams to resolve coverage issues.
- Analyzed denial trends and coordinated corrective actions to enhance claim approval rates.
Scheduling Supervisor - Radiology & Infusion Therapy
Meadows Regional Medical Center
08.2013 - 05.2015
- Coordinated urgent cases and addressed high-volume appointment demands.
- Improved scheduling accuracy and reduced patient wait times.
- Managed clinic scheduling and optimized patient flow.
- Trained and supervised staff to enhance service delivery.
- Ensured compliance with hospital and payer documentation standards.
Patient Administration Specialist (NCO)
Reynolds Army Community Hospital
09.2010 - 04.2013
- Confirmed eligibility of patients for TRICARE and military health benefits through thorough documentation review.
- Ensured accuracy of patient data and compliance with regulations.
- Oversaw patient registration, admissions, and medical record documentation processes to ensure seamless patient experiences.
- Delivered customer service to service members, dependents, and retirees, addressing inquiries and resolving issues efficiently.
- Upheld patient confidentiality and ensured compliance with HIPAA regulations in all documentation processes.
- Collaborated with clinical and administrative teams to support coordinated patient care and enhance operational workflows.
Education
High School Diploma - Pre-college curriculum
George Rogers Clark High School
Winchester, KY05-1989
Skills
Route optimization
- Logistics coordination
- Workflow coordination
- Customer service
- Eligibility verification
- Prior authorizations
- Claims support
- EMR/EHR documentation
- Patient registration
- HIPAA compliance
- Problem-solving
- Schedule management
Additional Information
Strong written and verbal communication, Experience in fast-paced, high-volume environments, Military background with leadership experience, Knowledge of HIPAA and patient privacy standards
Timeline
Driver / Dispatcher
Safe Delivery Guys
07.2020 - Current
Insurance Verification Specialist
Healix Infusion Therapy
09.2015 - 10.2026
Scheduling Supervisor - Radiology & Infusion Therapy
Meadows Regional Medical Center
08.2013 - 05.2015
Patient Administration Specialist (NCO)
Reynolds Army Community Hospital
09.2010 - 04.2013
High School Diploma - Pre-college curriculum
George Rogers Clark High School