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
16
16
years of professional experience
Work History
Insurance verification Specialist
UCF Student Health Services
10.2023 - Current
Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered system
Processed payments, reconciled accounts receivable reports and generated invoices for services rendered
Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers
Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients
Adhered to HIPAA requirements to safeguard patient confidentiality
Answered telephones and directed calls to appropriate medical or administrative staff
Prioritized and organized tasks to efficiently accomplish service goals
Greeted patients, determined purpose of visit and directed to appropriate staff
Updated patient and insurance data and input changes into company computer system
Retained strong medical terminology understanding in effort to better comprehend procedures
Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Lead-Administrative Assistant
Mount Sinai Hospital of Queens
10.2013 - 07.2020
Coached new employees on administrative procedures, company policies, and performance standards
Used computer programs and registration systems to schedule patients for routine and complex procedures
Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing
Assessed and forwarded procedure and service details to correct coding staff to best categorize for insurance purposes
Promptly answered multi-line phone system and greeted callers enthusiastically
Obtained payments from patients and scanned identification and insurance cards
Scheduled, rescheduled, and handled canceled appointments for patients
Responded to correspondence from insurance companies to verify patient's coverage and treatment approval
Provided ample support to team members, providing creative solutions to complex challenges regarding scheduling, conflict resolution, and medical care
Always adhered to strict HIPAA guidelines to protect patient privacy
Obtain precertification for Cancer treatments, transportation, and more
Schedule meetings with pharmaceuticals introducing new treatments to our center
Assist Manager in meetings
Made reports on treatment schedules to facilitate treatment delivery from the inhouse pharmacy.
Scheduling operator
AMAC Medical Call Center
10.2010 - 04.2012
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
Schedule patient appointments
Obtain patient information such as name, S.S, and insurance information for billing and treatment purposes
Registration for future medical visits
Data entry
Review medical records and determine which appointment was necessary for new patients
Eliminated outdated records
Made copies, send faxes, and routed mail to designated locations.
Administrative Assistant
Productos La Aguadillana - meat company
07.2007 - 04.2010
Greet in-house sales representatives and clients
Maintain an up-to-date department organization chart
Properly routed agreements, contracts, and invoices through the signature process
Performed accounts receivable duties, including invoicing, researching chargebacks, discrepancies, and reconciliations
Communicated with customers via phone and email to confirm deliveries and respond to inquiries
Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff
Sorted, opened and routed incoming correspondence and deliveries to help senior leaders respond quickly to business and customer requirements.
Education
HS Diploma -
Juan Suarez Pelegrina
Skills
Marketing
Project Management
Budget Planning
Social Media
Planning
Database Management
Maintain strict confidentiality
HIPPA compliance
Charting
Electronic Medical Records
Eligibility Determination
Insurance Plan Verification
Coverage and Authorizations
Documentation and Correspondence
Strong work ethic
Basic medical coding
Medical terminology
Communication and Interpersonal Skills
Self-starter
Meeting planning
Insurance Knowledge
Payment Collection and Processing
Patient charting
Claims and appeals
Bilingual Spanish
People soft
Phreesia
EPIC
ECW
Coordination and Scheduling
Leadership Experience
Leadership is someone who helps others and grows together. I have the blessing to be the leader of a group of Youth at my church and had the opportunity to be the Lead administrative assistant at my former job.