Results-driven Verification Specialist with expertise in insurance verification, staff training, and patient communication. Committed to maintaining accuracy and compliance in electronic medical records while implementing quality control measures.
Overview
11
11
years of professional experience
Work History
Verification Specialist
Texas Health
Aubrey, Tx
08.2019 - Current
Coordinated efforts to address discrepancies in patient information and documentation.
Reviewed incoming documents for completeness, accuracy, and compliance with established standards.
Contacted insurance companies to gather essential information regarding policies and payment benefits for patients.
Collaborated with other departments to ensure timely resolution of issues related to verification activities.
Navigated through multiple online systems to obtain documentation.
Entered data in EMR database to record payer, authorization requirements and coverage limitations.
Maintained up-to-date knowledge of insurance policies, including Medicare and Medicaid.
Coordinated with clinics to convey insurance coverage specifics, such as exclusions and testing limitations
Communicated effectively with team members to streamline verification workflows.
Assisted in training new staff on insurance verification procedures and best practices.
Utilized electronic medical records (EMR) systems for documenting verification processes.
Receptionist
Texas Health Internal Medicine
Plano, Tx
12.2017 - 08.2019
Checked patients in and out, ensuring efficient flow of services.
Scheduled appointments and managed electronic health record systems for accuracy.
Verified insurance coverage prior to appointments to prevent delays.
Collected payments and generated deposit slips to maintain financial accuracy.
Answered phone calls, taking detailed messages for follow-up actions.
Cleaned and sanitized lobby and reception area to uphold hygiene standards.
Screened patients for COVID-19 symptoms, including temperature checks.
Scheduled and confirmed appointments.
Provided administrative support to staff members including typing letters, filing documents, and scanning and copying documents when necessary.
Maintained daily calendars, set appointments with clients and planned daily office events.
Managed incoming mail distribution, courier services, faxes, and photocopying documents as requested.
Assistant Manager
Southwest X-ray
El Paso, Tx
10.2014 - 09.2017
Scheduled appointments efficiently.
Assisted with incoming calls and directed inquiries to appropriate personnel.
Trained new team members on operational procedures and customer service standards.
Generated weekly employee schedules.
Managed front desk operations and greeted visitors warmly.
Delivered concise instructions to patient prep regarding upcoming tests and procedures.
Generated STAT sheets, verbally relayed findings to the doctors within the hour, and provided patients with clear instructions to present to the ER with records and a disc in hand.
Administered electrocardiograms.
Assisted with preparation for arthrograms and nuclear medicine studies.
processed bank deposits.
Processed mail and packages to ensure timely delivery and distribution.
Education
Medical assistant -
Western Technical College
El Paso, TX
08.2014
High School Diploma -
Socorro High School
El Paso, TX
05.2010
Skills
Healthcare administration
Team collaboration
Training and development
HIPAA compliance
EMR data entry
Insurance benefits verification
Customer service
Detail orientation
Bilingual
References
Stephanie Baker, VOB Manager, 972-339-8806
Amanda Avila, Instructor, Western Technical College, 915-875-9652
Elida Garcia, Practice Manager, Tx Health Internal Medicine, 469-348-8850