Denise Chadic
Broken Arrow,OK
Summary
Dynamic Insurance Verification Specialist with a proven track record at Huron Consulting Group Inc., excelling in insurance coverage verification and compliance. Recognized for enhancing workflow efficiency and ensuring patient confidentiality. Skilled in electronic medical records and adept at coordinating authorizations, contributing to improved patient access and satisfaction.
Overview
12
12
years of professional experience
Work History
Insurance Verification Specialist
Huron Consulting Group Inc.
07.2022 - 02.2025
- Conducted insurance eligibility checks to verify patient coverage and benefits.
- Assisted in maintaining accurate patient records within electronic health record systems.
- Reviewed and resolved discrepancies in insurance information with healthcare providers.
- Collaborated with team members to streamline verification processes for improved efficiency.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
Medical Office Specialist
Bright Future Pediatrics
05.2018 - 07.2022
- Managed patient scheduling and coordinated appointments to optimize clinic workflow.
- Processed insurance claims and verified patient information for accuracy and compliance.
- Assisted in maintaining medical records, ensuring confidentiality and adherence to regulations.
- Communicated effectively with patients to address inquiries and provide support during visits.
- Trained new staff on office procedures, software systems, and customer service protocols.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Received, recorded and filed medical payments by check, cash, and credit card.
- Contacted patients regarding unpaid and underpaid accounts to resolve issues.
- Ensured compliance with HIPAA regulations by strictly adhering to privacy protocols when handling sensitive patient information.
Authorization Coordinator
Advanced Orthopedics Of Oklahoma
10.2015 - 05.2018
- Coordinated authorization processes to ensure timely patient access to healthcare services.
- Evaluated and processed insurance verification requests, maintaining accuracy and compliance with policies.
- Provided training and mentorship to junior staff on authorization protocols and system usage.
- Implemented process improvements that enhanced workflow efficiency and reduced turnaround times for approvals.
- Utilized electronic health record systems to track authorizations and maintain comprehensive documentation standards.
- Improved patient care by efficiently coordinating authorizations for medical procedures and treatment plans.
- Submitted for prior authorization with required documentation to appropriate funding source.
- Increased efficiency in handling authorization cases through effective prioritization based on urgency and complexity levels.
Patient Access Representative
St. John Hospital
08.2013 - 07.2015
- Managed patient registration processes ensuring accurate data entry and compliance with healthcare regulations.
- Facilitated insurance verification, obtaining pre-authorizations to enhance patient access to services.
- Streamlined appointment scheduling procedures, improving patient flow and reducing wait times.
- Trained new staff on systems usage and workflow best practices, fostering a collaborative team environment.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
Education
High School Diploma -
Broken Arrow Senior High
Broken Arrow05-1994
Skills
- Attention to detail
- Patient confidentiality
- HIPAA compliance
- Insurance coverage verification
- Data entry proficiency
- Eligibility determination
- Coverage and authorizations
- Coordination and scheduling
- Electronic medical records
- Prior authorization processing
Languages
English
Full Professional
Timeline
Insurance Verification Specialist
Huron Consulting Group Inc.
07.2022 - 02.2025
Medical Office Specialist
Bright Future Pediatrics
05.2018 - 07.2022
Authorization Coordinator
Advanced Orthopedics Of Oklahoma
10.2015 - 05.2018
Patient Access Representative
St. John Hospital
08.2013 - 07.2015
High School Diploma -
Broken Arrow Senior High
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