Diligent and collaborative professional with a strong work ethic, excelling in team environments and possessing the ability to effectively manage own time. Proven track record of delivering results, confident that skills and dedication would make a valuable asset to your organization.
Overview
14
14
years of professional experience
Work History
Insurance Verification Specialist
Harbor Light Oral & Maxillofacial Surgeons
06.2021 - 11.2024
Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Updated patient records with accurate, current insurance policy information.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Complied with HIPAA guidelines and regulations for confidential patient data.
Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
Assisted patients with understanding personalized insurance coverage and benefits.
Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
Achieved insurance pre-authorizations to enable timely patient procedures.
Expedited patient registration process by efficiently validating eligibility for various insurance plans.
Reduced errors in billing by accurately maintaining patient records with updated insurance information.
Optimized productivity within the department by prioritizing tasks according to urgency and importance levels.
Coordinated with care teams across various departments to ensure seamless integration of verified coverage information into overall treatment planning.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Medical Records Clerk
Westside Ortho group St. Lukes Hospital
09.2018 - 05.2019
I check in patients and answer phones for a very busy office
File important medical records for patients in the appropriate spot in their record
I also make sure that the office runs smoothly, and keep the patients updated if the physician is running late
Medical Records Clerk
Ohio Living Home Health and Hospice
10.2016 - 08.2018
Answer a busy phone system, sort through e-faxes, triage them, send them to the appropriate people
Assure that all the patients important papers, tests results, orders and any other pertinent information are uploaded into the patient's chart
Medical Receptionist
Flower Family Medicine
01.2013 - 01.2016
Checked in and out patients, answered busy phones, checked faxes, faxed documents to the appropriate office, put responses in the patients Medical record
Communicated with physicians in-person and electronically with very important information, and sorted, delivered and opened mail that came in the mail
Medical Receptionist
St. Luke's Family Medicine
01.2011 - 01.2013
Checked in and out patients daily, answered phones for a busy medical office
I also faxed important documents to other physicians offices and communicated with our doctor's in-person and electronically on our program through the office
Called patients with the responses from the physician
Education
No degree Attained - Business
Owens Community College
Perrysburg, OH
06.1992
College prep -
Maumee High School
01.1990
Skills
EXCEL
MICROSOFT WORD
WORD
Medical Records
Scheduling
Epic
EMR
Receptionist
Training
Outlook
Clerical
Microsoft Excel
Medical Receptionist
Medical Office Experience
Computer Skills
Customer service
Microsoft Outlook
Driving
Medical Scheduling
Office Administration
Patient Care
Triage
HIPAA
Medical Terminology
Microsoft Office
References
Available upon request.
Skillssummary
Strong people skills, work without interruptions, works well with others, comfortable with learning anything that I need to so that I may do my job successfully.
Timeline
Insurance Verification Specialist
Harbor Light Oral & Maxillofacial Surgeons
06.2021 - 11.2024
Medical Records Clerk
Westside Ortho group St. Lukes Hospital
09.2018 - 05.2019
Medical Records Clerk
Ohio Living Home Health and Hospice
10.2016 - 08.2018
Medical Receptionist
Flower Family Medicine
01.2013 - 01.2016
Medical Receptionist
St. Luke's Family Medicine
01.2011 - 01.2013
No degree Attained - Business
Owens Community College
College prep -
Maumee High School
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