A dedicated and hard-working individual looking to obtain a challenging position utilizing the abilities developed through education, skills, and experience with the opportunity for professional growth.
Overview
30
30
years of professional experience
Work History
Insurance Verification Specialist
Wellspire Medical
11.2024 - 09.2025
Verified patient insurance coverage by utilizing advanced verification tools and databases.
Communicated with insurance providers to resolve discrepancies in coverage information.
Assisted in training new staff members on verification protocols and system navigation.
Processed and documented insurance claims to ensure compliance with company policies.
Customer Service Representative
Medical Clinic of Houston, LLP
03.2016 - 11.2024
I currently call patient to let them know what they patient responsibility is for the Mri. and Ct Scan which include verify there benefits. also when ever patient call in and wanted to know why they a balance on there account I have to explain why they have a balance, which include it may be sub to patient deductible, coinsurance, or may not be cover by there insurance. I also collect on pass due balances, and I fill in something on verifying on colonoscopy and Egd.
Front Desk Receptionist
Foot and ankle center north houston
08.2013 - 04.2016
Check patients in and out collect copay. Coinsurance and deductible. ..make follow up appointment. .quote in office procedure for same day. Verify patient benefits for primary and secondary. .answer incoming calls.
Responsibilities
Insurance Verification
Advanced Orthopedics & Sports Medicine
03.2006 - 04.2013
Obtain patient's referrals in network & out of network for office visits. call Insurance company to get benefits for the patient , call patient to let them know what they benefits were.
Administrative assistance at the front desk
Memorial Bone & Joint Clinic
01.2003 - 01.2006
Houston, Texas
Insurance Verification
Verify patients insurance to maintain accurate collections of co-pays/co-insurance and deductibles.
Administrative assistance at the front desk
Pre-cert authorizations for injections and surgeries
Expedited the verification of appropriated referrals into the clinic according to the patient's insurance plan.
Front Desk Clerk
Kelsey-Seybold Clinic
01.1998 - 01.2003
Front desk clerical work; answered phones and assisted patients with their needs.
Checked in patients and collected co-pays.
Reconciled daily cash drawer.
Entered charges for the patient's visits.
Verified audit of x-ray reports being completed.
CNA & Unit Clerk
Memorial Hospital
01.1996 - 01.1998
Provide nursing care to assigned patients in accordance with nursing care procedures.
Take Blood pressure and documented in patients chart.
Change linens on the hospital beds.
Assisted patient's with meals
Unit clerk duties included timely documentation to fulfill doctor's orders.
Medical Insurance Biller /Insurance Verification Specialist at Surgery PartnersMedical Insurance Biller /Insurance Verification Specialist at Surgery Partners