Deborah Battle
Southfield,MI
Summary
Detail-oriented Insurance Verification Specialist with a proven track record of safeguarding sensitive patient information while expertly navigating Medicaid and private policy benefits. Demonstrates strong relationship-building and communication skills that enhance client interactions and service delivery. Aiming to leverage dynamic skills in a challenging role within a forward-thinking company that prioritizes integrity and dedication.
Overview
49
49
years of professional experience
Work History
Insurance Verification Specialist
Henry Ford Health System (DBA Henry Ford Health)
Detroit, MI
07.1976 - Current
- Educated patients on their insurance benefits and coverage limitations.
- Utilized electronic medical records (EMR) systems for documenting verification processes.
- Maintained up-to-date knowledge of insurance policies, including Medicare and Medicaid.
- Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
- Retained strong medical terminology understanding in effort to better comprehend procedures.
- Participated in training sessions on new software programs used for verification purposes.
- Contacted patients to confirm demographic information and communicate financial responsibilities.
- Responded promptly to customer inquiries regarding their benefits and eligibility status.
- Coordinated with the billing department to ensure correct insurance information is applied to claims.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Communicated with patients with compassion while keeping medical information private.
- Verified patient insurance coverage, benefits, and eligibility for services across multiple insurance platforms.
- Maintained confidentiality of patient information in accordance with HIPAA regulations.
- Analyzed and interpreted insurance coverage policies to determine patient eligibility for services.
- Assisted in training new staff on insurance verification procedures and best practices.
- Updated patient accounts with insurance verification information to ensure accurate billing.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Managed multiple tasks and priorities in a high-volume, fast-paced environment.
- Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
- Updated patient and insurance data and input changes into company computer system.
- Approached customers and engaged in conversation through use of effective interpersonal and people skills.
Education
Associate of Science - Computer Programming
Control Data Institute
Detroit, MI06-1969
Skills
- Patient contact
- Insurance plan verification
- Insurance terminology
- Insurance benefits verification
- HIPAA compliance
- Communication and interpersonal skills
- Healthcare industry
- Medical terminology
- Insurance coverage verification
- Proficient in Microsoft Word, Excel, and PowerPoint software
- Accuracy and precision
- Attention to detail
- Patient communication
- Electronic medical records
- Patient confidentiality
- Policy interpretation
- Patient rapport
- Medicaid
Accomplishments
- Canadian Initiative for Bariatric Surgery (conducted by the Contracting Department)
Affiliations
- Urban landscaping and gardening
- Consulting Home decorating
- Consulting/decorating for Christmas
Timeline
Insurance Verification Specialist
Henry Ford Health System (DBA Henry Ford Health)
07.1976 - Current
Associate of Science - Computer Programming
Control Data Institute
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