DeVita Rogers
Houston,TX
Summary
Experienced Insurance Specialist successful at managing insurance verification & follow up responsibilities in fast-paced environments. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Offering over 20 years of experience and willingness to take on any challenge.
Overview
17
17
years of professional experience
Work History
Insurance Specialist II
PFS Group
07.2008 - Current
- Maintained high standards of customer service by building relationships with clients.
- Processed eligibility and benefits verification and authorization requests.
- Resolved discrepancies in insurance payments by collaborating with carriers.
- Followed up on denials, late payments, extensions and other special circumstances.
- Researched and resolved routine and complex issues.
- Utilized EPIC to document and track customer account details.
- Communicated effectively with members of operations, clients and various other departments.
- Train and mentor new employees and assist in their development.
- Identifies and initiate process for improvements.
- Assists Management with reporting and special projects.
- Adhere to all HIPAA guidelines and regulations.
Associate Customer Communications Specialist
Coventry Healthcare
08.2006 - 07.2008
- Provided excellent customer service and provided answers to Members, Non-Members, Providers, and/or Brokers/Agents questions within set standards.
- Utilized inbound and outbound telephone techniques to solidify and build client relationships.
- Worked with multiple screens and programs to resolve customer issues.
- Worked cross-functionally with various members of claims processing teams.
- Responded to provider requests, offering excellent support and tailored recommendations to address needs.
- Promptly responded to inquiries and requests from providers.
- Assisted Management with reporting and special projects.
- Adhere to all HIPAA guidelines and regulations.
Education
Accounting
University of Houston - Downtown
Houston, TXSkills
- Account Management
- Insurance Coverage Verification
- Patient Account Reviews
- Benefits Verifications
- Training Junior Team Members
- Insurance Claims Management
- Reporting Skill
- Documentation Skills
Additional Information
Proficient knowledge of various Hospital Systems {CUBS, EPIC, GE, CERNER, INVISION, SMS, NOVELL, EMDEON, MEDITECH, STAR, CITRIX, AFFINITY, CHARTMAX, etc.}
Timeline
Insurance Specialist II
PFS Group
07.2008 - Current
Associate Customer Communications Specialist
Coventry Healthcare
08.2006 - 07.2008
Accounting
University of Houston - Downtown