Hands-on individual boasting a career spent managing administrative tasks in fast-paced offices with relative ease. A well-trained Insurance Verification Specialist offering a background in contacting insurance companies for critical information and crafting patient documents for billing purposes.
Overview
29
29
years of professional experience
Work History
Medical Insurance Verification Specialist
Conifer Healthcare Solutions
SUAGR LAND, TX
01.2021 - Current
Examined claims, records and procedures to grant approval of coverage.
Checked documentation for appropriate coding, catching errors and making revisions.
Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
Handled billing related activities focused on medical specialties.
Verified that patients had proper insurance coverage prior to any procedures or appointment scheduling.
Updated all patient and insurance data regularly and carefully inputted changes into company's computer system.
Retained strong medical terminology understanding in effort to better comprehend procedures.
Followed specific security rules and guidelines to protect sensitive data, including patient medical records and payment card information.
Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
Managed physician calendar, including scheduling patient appointments and procedures.
Answered phone calls to provide assistance, information and medical personnel access to maximize office efficiency.
Updated patient financial information to promote accurate record keeping.
Conducted patient intake interviews to collect medical information and insurance details.
Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses.
Admitting Specialist
Conifer Health Solutions
Sugarland , TX
10.1994 - 01.2021
Verified demographics and insurance information to register patients in computer system.
Processed patient responsibility estimate determined by insurance at pre-registration.
Obtained necessary signatures for privacy laws and consent for treatment.
Applied knowledge of payer requirements, utilizing on-line eligibility systems to verify patient coverage and policy limitations.
Educated patients and families on treatments, procedures, medications, continuing care and community resources.
Checked claims for errors, corrected issues and mailed out in a timely manner.
Coordinated between patients and healthcare professionals to meet patient needs.
Ran statements each month to review outstanding balances and identify accounts in need of collection processing.
Checked daily doctor schedules and verified insurance.
Scheduled and confirmed patient appointments with patients and healthcare professionals.
Utilized customer service skills and detailed system knowledge to support hospital and clinic operations.
Met with patients and their families to discuss medical procedures, medications, treatments and continuing care plans.
Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
Earned reputation for good attendance and hard work.
Utilized Epic to compile data gathered from various sources of Epic