Deena Aills
Forney,Tx
Summary
Results-driven Insurance Verification Specialist with a proven track record at Bright Star Care of Plano, excelling in insurance coverage verification and patient communication. Achieved significant reductions in claim denials through meticulous attention to detail and proactive problem-solving, ensuring timely patient procedures while maintaining HIPAA compliance and fostering collaborative relationships.
Overview
27
27
years of professional experience
Work History
Insurance Verification Specialist
Bright Star Care of Plano
09.2025 - 03.2026
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Generated reports to track insurance verifications and claim progress.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Ensured accuracy in patient insurance information by meticulously verifying details, leading to reduction in claim denials.
- Optimized use of insurance verification software, leading to faster processing times.
- Minimized delays in treatment scheduling by promptly identifying potential coverage issues and working proactively towards their resolution.
- Contributed to patient education by explaining complex insurance terms and procedures in understandable manner.
- Maintained up-to-date knowledge of insurance policies and changes, aiding in accurate verification.
Insurance Verification Specialist
Lake Pointe Orthopedic Associates
02.2023 - 09.2025
- Trained new staff on current, correct insurance verification procedures.
- Posted payments to accounts and maintained records.
- Negotiated payment plans on behalf of clients facing financial hardship, helping them access necessary healthcare services without undue burden.
- Enhanced communication between medical staff and insurance companies, leading to more efficient patient care coordination.
- Played critical role in financial counseling team, advising patients on insurance-related matters to optimize their healthcare expenditure.
- Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Streamlined insurance verification process, reducing wait times for patients and medical staff.
- Streamlined workflow for medical providers by obtaining necessary referrals and authorizations for services.
- Assisted in front desk check in/check out. Also made and updated appointmentds
Call Center Representative
Greater Dallas Orthopaedics
02.2022 - 01.2024
- Managed high call volumes while providing exceptional customer support and maintaining professional composure.
- Established trust with clients by accurately addressing their concerns and offering appropriate resolutions based on their needs.
- Identified upselling opportunities to increase revenue generation.
- Exceeded monthly performance metrics consistently, contributing to the success of the call center operations.
- Enhanced customer satisfaction by efficiently addressing and resolving inquiries in a timely manner.
- Developed rapport with customers through empathetic listening skills, creating positive experiences even during difficult conversations.
- Handled escalated calls professionally, effectively resolving complex issues and ensuring client satisfaction at all times.
- Met customer call guidelines for service levels, handle time and productivity.
- Followed up with customers about resolved issues to maintain high standards of customer service.
- Check in /check out patients and scheduled appointments
Surgery Scheduling Coordinator
Texas Orthopaedic & Sports Medicine
04.1999 - 07.2021
- Managed high volume of incoming calls and inquiries related to surgery scheduling with professionalism and attention to detail.
- Assisted in maintaining an up-to-date surgical calendar, enabling efficient use of operating room resources.
- Established strong working relationships with other departments involved in surgical care such as anesthesia, radiology and laboratory services.
- Improved accuracy in surgery scheduling, ensuring appropriate pre-operative preparations were completed.
- Coordinated pre-surgical testing requirements to minimize delays or cancellations on the day of surgery.
- Maintained accurate records of all scheduled procedures, contributing to seamless hospital operations.
- Reduced patient wait times with effective communication between surgeons, staff, and patients.
- Liaised between patients and insurance providers, ensuring proper authorization for scheduled procedures was obtained.
- Also was promoted to Administrative Assistant
Education
No Degree -
Eastfield College
Mesquite, TXSkills
- Customer service
- Patient confidentiality
- HIPAA compliance
- Attention to detail
- Front Office check in/out
- Patient communication
- Collaborative relationships
- Insurance coverage verification
- Accuracy and precision
- Communication and interpersonal skills
- Medical terminology
- Prior authorization processing
- Patient rapport
- Document management
Timeline
Insurance Verification Specialist
Bright Star Care of Plano
09.2025 - 03.2026
Insurance Verification Specialist
Lake Pointe Orthopedic Associates
02.2023 - 09.2025
Call Center Representative
Greater Dallas Orthopaedics
02.2022 - 01.2024
Surgery Scheduling Coordinator
Texas Orthopaedic & Sports Medicine
04.1999 - 07.2021
No Degree -
Eastfield College