Corine Todd-Clayton
Fort Lauderdale,FL
Summary
Accomplished Insurance Verifier at Holy Cross Hospital, adept in HIPAA compliance and insurance verification, significantly enhanced client satisfaction and streamlined claim processes. Leveraging strong MS Office skills and exceptional communication abilities, achieved notable improvements in operational efficiency and customer service metrics.
Insurance professional with extensive experience in verifying insurance details and optimizing patient intake processes. Known for reliability in team collaboration and consistently meeting objectives. Skilled in data entry and customer service, with proactive approach to adapting to changing requirements.
Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.
Overview
21
21
years of professional experience
Work History
Insurance Verifier
Holy Cross Hospital, Fort Lauderdale
09.2013 - Current
- Utilized advanced software tools for efficient management of client records, policy information, and claim statuses.
- Streamlined the verification process with meticulous attention to detail, ensuring accurate data entry and documentation.
- Contributed to company''s growth through consistent achievement of performance metrics related to accuracy, speed, and customer satisfaction ratings.
- Enhanced client satisfaction by accurately verifying insurance coverage and processing claims in a timely manner.
- Demonstrated expertise in various insurance plans, including HMOs, PPOs, and government-sponsored programs, ensuring accurate verification for diverse client populations.
- Provided exceptional customer service during interactions with clients, addressing concerns or questions promptly and professionally.
- Supported billing department by verifying coverage details to ensure correct invoicing of clients and prompt payment from insurers.
- Assisted clients with understanding their insurance policies, benefits, and limitations to promote informed decision-making regarding healthcare services.
- Collaborated with healthcare providers to obtain required patient information for accurate insurance verification.
- Managed high-volume caseloads efficiently while maintaining strict deadlines for completing verifications and processing claims.
- Expedited claim processing by promptly obtaining necessary pre-authorizations for medical procedures.
- Ensured timely referrals for specialty care or diagnostic tests by verifying coverage and obtaining necessary preauthorizations.
- Leveraged strong analytical skills to identify trends in denied or delayed claims, leading to improved processes and reduced denial rates.
- Safeguarded client privacy by adhering to stringent HIPAA regulations in all aspects of work responsibilities.
- Acquired billing information by worker's compensation accounts and MVA.
- Verified all patient demographic information when registering for services.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Updated patient records with accurate, current insurance policy information.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Obtained payments from patients and scanned identification and insurance cards.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Conducted patient intake interviews, recording and documenting relevant information.
Customer Service Rep
Tcc Media
02.2010 - 06.2013
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
Receptionist
Dr Christopher Gordon DMD
01.2004 - 09.2006
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Confirmed appointments, communicated with clients, and updated client records.
- Answered phone promptly and directed incoming calls to correct offices.
- Kept reception area clean and neat to give visitors positive first impression.
- Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
Education
Diploma - Medical Billing And Coding
ATI Career Training Center
Fort Lauderdale, FL01-2012
Diploma - Medical Administrative Technology
ATI Career Training Center
Fort Lauderdale, FL01-2012
High School Diploma -
Merl Grove High
06-1988
Skills
- Customer service experience
- HIPAA Compliance
- Claims Processing
- Insurance Verification
- Healthcare regulations
- Strong MS Office abilities
- Coverage and Authorizations
- Communication and Interpersonal Skills
- Electronic Medical Records
- Medical Terminology
- Prior authorization processing
- Insurance Coverage Verification
Timeline
Insurance Verifier
Holy Cross Hospital, Fort Lauderdale
09.2013 - Current
Customer Service Rep
Tcc Media
02.2010 - 06.2013
Receptionist
Dr Christopher Gordon DMD
01.2004 - 09.2006
Diploma - Medical Billing And Coding
ATI Career Training Center
Diploma - Medical Administrative Technology
ATI Career Training Center
High School Diploma -
Merl Grove High
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