Dynamic Benefits Verification Specialist with proven expertise at Element Medical Billing, adept at enhancing workflow efficiency and ensuring compliance with regulations. Skilled in insurance communication and record management, I excel in data analysis and patient interaction, driving accuracy in benefits verification while fostering collaborative team environments.
Overview
30
30
years of professional experience
Work History
Benefits Verification Specialist
Element Medical Billing
Port Saint Lucie, Florida
07.2021 - 02.2026
Verified patient eligibility for benefits coverage, ensuring accuracy in coverage assessments.
Communicated with insurance companies to verify coverage details.
Contacted insurance companies to gather necessary information for verification processes.
Reviewed patient insurance eligibility and benefits for medical procedures.
Documented verification results in electronic health record systems.
Adhered to HIPAA regulations when handling confidential patient information.
Collaborated with internal teams, including billing and utilization management, to resolve benefit verification issues and improve service delivery.
Developed strategies that streamlined workflow processes for benefit verifications, enhancing overall efficiency.
Trained new staff on benefits verification protocols and systems.
Managed daily workloads while meeting deadlines set by management.
Participated in meetings with upper management on ways to streamline the process of verifying patient eligibility.
Researched discrepancies between patient records and insurance company records.
Mastered state and Federal benefit laws Including ERISA, FMLA, COBRA, HIPAA and 401k administration.
Ensured compliance with federal, state, and local regulations affecting benefits programs, including ACA and ERISA.
Surveillance Operator
Thunder Valley Casino And Resort
Lincoln, California
10.2020 - 12.2020
Monitored surveillance cameras for suspicious activities and potential threats.
Observed gaming tables, slots and poker rooms throughout casino via live video feeds.
Utilized advanced video recording systems to capture footage of criminal activity.
Operated specialized software used in monitoring multiple locations simultaneously.
Identified suspicious activity through strong understanding of cheating techniques and advantage play methods.
Recorded incidents and generated detailed reports for security review.
Maintained records of all detected violations or incidents for future reference.
Collaborated with law enforcement during investigations and emergency situations.
Assisted law enforcement personnel with investigations by providing them with relevant footage from surveillance cameras.
Communicated violations to appropriate personnel and followed up with detailed documentation of incidents.
Maintained professional and respectful demeanor, even in situations of extreme stress, remaining alert, focused and effective to carry out security-related missions.
Facilitated response efforts during fire alarms and medical emergencies.
Conducted periodic checks of all surveillance systems, ensuring proper functioning and operation.
Ensured strict confidentiality of business operations, patrons, and proprietary information to protect organizational integrity.
Enforced adherence to state gaming regulations and company policies and procedures.
Adhered strictly to established policies and procedures pertaining to privacy rights and protection of confidential information.
Reported violations and suspicious patrons to supervisors.
Benefits Verification Specialist
Aspire Medical Billing and Collections
Port Saint Lucie, Florida
06.2019 - 09.2020
Reviewed and verified patient eligibility for benefits coverage, ensuring accurate processing of claims.
Reviewed patient insurance eligibility and benefits for medical procedures.
Communicated with insurance companies to verify coverage details.
Contacted insurance companies to gather required information for verification.
Maintained timely and accurate records of verification activities to support compliance and reporting.
Adhered to HIPAA regulations when handling confidential patient information.
Managed daily workloads while meeting deadlines set by management.
Collaborated with departments to streamline data entry processes and enhance accuracy in patient records.
Surveillance Operator I
Stillaguamish Tribe of Indians
02.2015 - 08.2018
Responsible for watching all operations on the casino floor, i.e. Cage, Soft Count, Drop Teams, Table Games, Slots, POS for Restaurants, escorts across the casino floor, and Valet.
Ensured accurate record-keeping of all incidents for future reference.
Conducted focused training sessions for surveillance staff in Table Games, enhancing team readiness and operational effectiveness.
Monitored live video feeds to ensure the safety and security of the premises.
Conducted regular inspections of surveillance equipment for optimal functionality.
Coordinated with law enforcement to facilitate investigations and incidents.
Documented unusual activities and incidents in detailed reports for records.
Trained new staff on surveillance protocols and equipment usage procedures.
Facilitated clear communication with team members during emergency situations to ensure coordinated responses.
Assisted in developing security strategies to enhance overall surveillance effectiveness.
Participated in regular safety drills to ensure preparedness for various scenarios.
Maintained constant communication with other members of the team via radio or telephone while on duty.
Observed gaming tables, slots and poker rooms throughout casino via live video feeds.
Conducted periodic checks of all surveillance systems, ensuring proper functioning and operation.
Adhered strictly to established policies and procedures pertaining to privacy rights and protection of confidential information.
Provided assistance during emergency situations such as fire alarms, medical emergencies.
Utilized advanced video recording systems to capture footage of criminal activity.
Operated specialized software used in monitoring multiple locations simultaneously.
Provided law enforcement personnel with relevant footage from surveillance cameras to support investigations and enhance security measures.
Identified suspicious activity through strong understanding of cheating techniques and advantage play methods.
Collaborated closely with internal teams such as IT support staffs in order to troubleshoot any technical issues related to surveillance equipment.
Analyzed data collected from various sources including CCTV footage, alarm systems, access control systems.
Monitored and tracked suspicious activities in assigned areas using surveillance equipment.
Performed routine inspections of the premises to identify potential threats or weaknesses in security measures.
Maintained professional and respectful demeanor, even in situations of extreme stress, remaining alert, focused and effective to carry out security-related missions.
Leveraged strong interpersonal and communication skills to interact successfully with management, peers and patrons.
Supervised and trained new team members in surveillance operations and best practices.
Reported violations and suspicious patrons to supervisors.
Trained surveillance observers to operate equipment and monitor activity.
Maintained strict confidentiality regarding business operations, patrons and proprietary information.
Enforced adherence to state gaming regulations and company policies and procedures.
Communicated violations to appropriate personnel and followed up with detailed documentation of incidents.
Table Games Dual-Rate
Angel of the Winds Casino
10.2012 - 02.2015
Dealt games, processed cash transactions, and engaged customers to ensure enjoyable gaming experiences.
Oversaw table and dealer operations, resolved disputes, and maintained equipment functionality to support seamless gameplay.
Completed day-to-day duties accurately and efficiently.
Contributed innovative ideas and solutions to enhance team performance and outcomes.
Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Table Games Dealer
Red Wind Casino
11.2011 - 10.2012
Dealt various table games, ensuring adherence to casino regulations.
Managed game flow and maintained accurate chip counts during play.
Provided excellent customer service to enhance player experience.
Dealt games, processed cash transactions, and interacted with customers to enhance their gaming experience.
Table Games Supervisor
Angel of the Winds Casino
10.2007 - 11.2011
Supervised table game operations ensuring compliance with gaming regulations.
Monitored gameplay for fair play and addressed any disputes promptly.
Trained and mentored dealers on game procedures and customer service skills.
Evaluated dealers and supervised table games operations to ensure compliance and enhance customer experience.
Table Games Dealer-Dual Rate
Red Wind Casino
06.2006 - 10.2007
Dealt cards for various table games including blackjack and poker.
Assisted players with rules and game procedures during gameplay.
Monitored game integrity and ensured compliance with casino regulations.
Relocated from Spokane to Tacoma, managing the transition effectively.
Table Games Supervisor
Northern Quest Casino
01.2000 - 10.2005
Table Games Dealer
Two Rivers Casino
01.1997 - 01.2000
Data Entry Clerk
Pyramid Health Solutions
01.1996 - 01.1997
Traveled across United States to ensure accuracy and completeness of medical records through data entry.
Entered patient data into electronic health records system with a focus on accuracy and compliance with healthcare standards.
Managed daily data entry tasks using proprietary software.
Verified accuracy of patient records and documentation.
Assisted in organizing and maintaining digital filing systems.
Education
G.E.D -
Spokane Community College
Some College (No Degree) - Front Office Billing And Coding
Florida Career College
Boynton Beach, FL
Skills
Benefits verification
Insurance communication
Patient communication
Record management
Data analysis
Operating system management
Surveillance technology
Timeline
Benefits Verification Specialist
Element Medical Billing
07.2021 - 02.2026
Surveillance Operator
Thunder Valley Casino And Resort
10.2020 - 12.2020
Benefits Verification Specialist
Aspire Medical Billing and Collections
06.2019 - 09.2020
Surveillance Operator I
Stillaguamish Tribe of Indians
02.2015 - 08.2018
Table Games Dual-Rate
Angel of the Winds Casino
10.2012 - 02.2015
Table Games Dealer
Red Wind Casino
11.2011 - 10.2012
Table Games Supervisor
Angel of the Winds Casino
10.2007 - 11.2011
Table Games Dealer-Dual Rate
Red Wind Casino
06.2006 - 10.2007
Table Games Supervisor
Northern Quest Casino
01.2000 - 10.2005
Table Games Dealer
Two Rivers Casino
01.1997 - 01.2000
Data Entry Clerk
Pyramid Health Solutions
01.1996 - 01.1997
G.E.D -
Spokane Community College
Some College (No Degree) - Front Office Billing And Coding