Summary
Overview
Work History
Education
Skills
Timeline
Generic

CRYSTAL MUNCY

Winston Salem,NC

Summary

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

29
29
years of professional experience

Work History

Verification Specialist

  • With 10 years of experience verifying insurance coverage for new and returning patients, updating patient information in the epic system, and calling Medicare, Medicaid, and commercial insurances to verify coverage
  • Highly skilled in creating estimates for patients and assisting them in understanding their financial responsibilities.

Insurance Verification Specialist

Novant Health Inc
12.2020 - 08.2023
  • Complied with HIPAA guidelines and regulations for confidential patient data.
  • Assisted patients with understanding personalized insurance coverage and benefits.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Made contact with insurance carriers to discuss policies and individual patient 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.
  • Updated patient records with accurate, current insurance policy information.
  • Trained new staff on current, correct insurance verification procedures.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Established and maintained relationships with insurance providers for productive communications.

Administrative Assistant

The Neil Group
05.2017 - 07.2017
  • CRYSTAL MUNCY
  • INSURANCE VERIFICATION SPECIALIST| 336-749-5722 | Crystalmuncy16@gmail.com
  • Verified insurance coverage for new and returning patients
  • Updated patient information in epic system
  • Called Medicare, Medicaid, and commercial insurances to verify coverage
  • Created estimates for patients after verifying coverage
  • Assisted patients in understanding their financial responsibilities
  • Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
  • Executed record filing system to improve document organization and management.
  • Managed phone and email correspondence and handled incoming and outgoing mail and faxes.
  • Assisted coworkers and staff members with special tasks on daily basis.
  • Verified Commerical/Medicaid Insurances
  • Scheduling. New and return appointments
  • Collect patient and client documents and information upon referral.

Insurance Verification /Medical Collections Specialist

Central Carolina OB/GYN
09.2016 - 02.2017
  • Managed and organized administrative tasks such as scheduling appointments, coordinating meetings, and veriying insurance
  • Developed and maintained efficient filing systems to ensure easy retrieval of important documents and information
  • Handled incoming calls and inquiries, providing exceptional customer service and resolving issues promptly
  • Collaborated with various departments to facilitate smooth communication and coordination of projects and tasks.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
  • Updated patient records with accurate, current insurance policy information.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Established and maintained relationships with insurance providers for productive communications.
  • Generated reports to track insurance verifications and claim progress.
  • Obtained payments from patients and scanned identification and insurance cards.
  • Completed administrative patient intakes with case histories, insurance information and mandated forms.

Medical Office Receptionist

Various Offices
01.1995 - 09.2016
  • Managed patient appointments and scheduling, ensuring efficient and organized flow of patients
  • Greeted and checked-in patients, verifying insurance information and collecting necessary paperwork
  • Answered phone calls and inquiries, providing excellent customer service and directing calls to appropriate staff members
  • Maintained patient records and updated electronic medical records, ensuring accuracy and confidentiality
  • Assisted with billing and coding tasks, ensuring proper documentation and timely submission of claims
  • Managed and maintained a portfolio of delinquent accounts, ensuring timely and effective collection efforts
  • Negotiated payment arrangements and settlements with patients to resolve outstanding debts
  • Conducted thorough investigations and analysis of delinquent accounts to identify root causes and develop strategies for resolution
  • Utilized various communication channels, such as phone calls, emails, and letters, to communicate with customers and collect outstanding payments
  • Collaborated with internal departments and external agencies to resolve complex collection issues and escalate cases when necessary.
  • Organized paperwork such as charts and reports for office and patient needs.
  • Reviewed and sent medical records to other physicians upon request.
  • Received, recorded and filed medical payments by check, cash, and credit card.
  • Pulled charts and prepared for nurse and doctor assessment.
  • Scheduled, rescheduled, and cancelled appointments for dental patients.
  • Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
  • Maintained records by recording, obtaining and updating personal and financial information.
  • Handled office inventory by ordering new supplies and scheduled equipment services and repairs.
  • Aided with prescription refill requests.
  • Maintained patient databases and updated information in alignment with HIPAA protocols.
  • Kept patients' appointments on schedule by informing provider of patient's arrival and any delays.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Checked patient insurance, demographic, and health history to keep information current.
  • Managed multi-line phone system and pleasantly greeted patients.
  • Adhered to strict HIPAA guidelines to protect patient privacy.
  • Helped patients complete necessary medical forms and documentation.
  • Maintained current and accurate medical records for patients.
  • Completed patient referrals to other medical specialists.
  • Supported office staff and operational requirements with administrative tasks.
  • Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
  • Notified manager of incidents and potential incidents relating to patients and staff for swift action.

Education

GED -

Forsyth Technical Community College
Winston-salem, NC
05.1991

Skills

  • Insurance Terminology
  • Focused Observation
  • Insurance Plan Verification
  • Patient Contact
  • Financial Counseling
  • System Verification
  • Customer Care
  • Data Integrity
  • Medical Terminology
  • Referral Coordination
  • Information Assistance
  • Payment Plan Options
  • Administrative Support
  • Clerical Support
  • Medical Records Verification
  • Payor Procedures
  • Financial Clearance
  • Office Administration
  • Electronic Filing System
  • CPT Coding
  • Microsoft Office
  • Online Systems
  • Patient Health Information Access
  • Reminder Calls
  • EMR Systems
  • Deductible and Co-Pay Calculation
  • Document Management
  • HIPAA Regulations
  • Benefits Verifications
  • Call Transfers
  • Financial Documentation
  • Electronic Health Records Systems
  • Web-Based Scheduling
  • Answer Telephones
  • Medical Data Coding
  • Explaining Patient Benefits
  • Diagnostic Codes
  • Demographics Information
  • Document Scanning

Timeline

Insurance Verification Specialist

Novant Health Inc
12.2020 - 08.2023

Administrative Assistant

The Neil Group
05.2017 - 07.2017

Insurance Verification /Medical Collections Specialist

Central Carolina OB/GYN
09.2016 - 02.2017

Medical Office Receptionist

Various Offices
01.1995 - 09.2016

Verification Specialist

GED -

Forsyth Technical Community College

Similar Profiles

CREATE PROFILE
CRYSTAL MUNCY