Adept at managing high-stress situations and ensuring HIPAA compliance, I excelled in roles at ABA Solution and JPMorgan Chase, enhancing patient billing processes and reducing call wait times. My expertise in insurance coverage verification and problem-solving, coupled with a commitment to patient confidentiality, drove significant improvements in operational efficiency. 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
24
24
years of professional experience
1
1
Certification
Work History
Insurance Verification Specialist
ABA Solution
08.2023 - 09.2024
Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
Updated patient records with accurate, current insurance policy information.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Carefully review the denial notice received from the insurance Keep track of claims submitted to avoid issue in timely manner.
Generated reports to track insurance verifications and claim progress.
Correct error claims and resubmit your claim.
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.
Posted payments to accounts and maintained records.
Administrative Assistant
IN FUSED SOLUTIONS / Army Recruiting
01.2006 - 12.2019
Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships with vendors.
Maintained inventory of office supplies and placed orders.
Facilitated collaboration within team by organizing regular meetings and tracking project progress.
Managed phone and email correspondence and handled incoming and outgoing mail and faxes.
Assisted coworkers and staff members with special tasks on daily basis.
Managed paper and electronic filing systems by routing various documents, taking messages and managing incoming and outgoing mail.
Completed forms, reports, logs, and records to quickly handle all documentation for headquarters.
Interacted with vendors, contractors and professional services personnel to receive orders, direct activities, and communicate instructions.
Increased office participation in special events by creating newsletter with detailed calendars and other office updates.
Ensured accurate record-keeping with diligent data entry and database management for vital company information.
Monitored office supplies inventory, ensuring availability of essential items without overstocking.
Customer Service Representative
JPMorgan Chase
01.2001 - 01.2006
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Resolved customer complaints with empathy.
Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
Responded to customer requests for products, services, and company information.
Answered over 120 calls per shift to meet fast-paced call center demands.
Reduced call wait times by quickly identifying customer needs and directing them to the appropriate department or resource.
Investigated and resolved customer inquiries and complaints quickly.
Education
High School Diploma -
Caldwell High School
Caldwell, TX
Skills
Attention to Detail
Patient confidentiality
HIPAA Compliance
Insurance Coverage Verification
Data Entry and Review
Claims Processing
Problem-Solving
CPT Coding
Computer Proficiency
Administrative Support
Payment Plan Options
Patient Billing
Accomplishments
Used Microsoft Excel to develop inventory tracking spreadsheets.
Telephone Service - Professionally processed 80+ calls per day, providing information and service to ensure customer satisfaction.
Monetary Transactions - Handled cash, check, credit and automatic debit card transactions with 100% accuracy.