Dedicated administrative professional with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision.
Overview
5
5
years of professional experience
Work History
Lead Insurance Verification Specialist
Northeast Pediatric Associates
01.2019 - Current
Verified client information by analyzing existing evidence on file.
Determined appropriateness of payers to protect organization and minimize risk.
Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
Complied with HIPAA guidelines and regulations for confidential patient data. L
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Complied with HIPAA guidelines and regulations for confidential patient data.
Updated patient records with accurate, current insurance policy information.
Assisted patients with understanding personalized insurance coverage and benefits.
Achieved insurance pre-authorizations to enable timely patient procedures.
Trained new staff on current, correct insurance verification procedures.
Established and maintained relationships with insurance providers for productive communications.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Performed various administrative tasks by filing, copying and faxing documents.
Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
Obtained payments from patients and scanned identification and insurance cards.
Completed administrative patient intakes with case histories, insurance information and mandated forms.
Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
Prepared and processed patient referrals and transfer requests.
Education
High School Diploma -
Marion High School
Marion, TX
05.2015
Skills
Communication and Interpersonal Skills
Documentation and Correspondence
Medical Billing
Skilled in PCC EHR
Patient Rapport
Electronic Medical Records
Prior Authorization Processing
Timeline
Lead Insurance Verification Specialist
Northeast Pediatric Associates
01.2019 - Current
High School Diploma -
Marion High School
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