Skilled Insurance Verification Specialist with experience in verifying insurance coverage, understanding policies, and processing claims. Strengths include strong analytical skills, attention to detail, and ability to work under pressure. Proven record of improving efficiency in handling claims and enhancing customer satisfaction through timely resolution of disputes and issues. Team member with in-depth understanding of medical standards, compliance requirements and operational procedures. Practiced problem-solver with friendly and caring mentality and excellent communication skills. Expertise in inventory management, customer service and inner-office operations.
Overview
4
4
years of professional experience
Work History
Insurance Verification Specialist
The Hospitals Of Providence Memorial Campus
El Paso, Texas
07.2023 - Current
Executed timely updates to patient records, ensuring accuracy of insurance information.
Facilitated communication between patients and insurance providers to resolve coverage inquiries.
Managed documentation related to insurance verification processes for efficient record keeping.
Collaborated with healthcare teams to streamline patient intake and insurance verification procedures.
Coordinated with third-party payers to obtain necessary authorizations for patient services.
Reviewed and validated insurance documents to ensure compliance with regulatory standards.
Developed and implemented procedures for effective patient data management within the department.
Trained new staff on insurance verification protocols and best practices.
Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
Maintained accurate documentation on all pre-authorization requests, denials and appeals.
Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
Server
Paso del Norte Hotel/Sabor/ El Mirador
El Paso, Texas
08.2022 - 06.2023
Provided excellent customer service to ensure satisfaction in the restaurant, nightclub, and room service.
Handled money transactions accurately while following company procedures for handling cash payments.
Displayed enthusiasm and knowledge about restaurant's menu and products.
Assisted in training new servers.
Took orders from customers accurately and in a timely manner.
Upsold menu items to increase overall sales.
Cashier
Raising Cane's
El Paso, Texas
07.2021 - 07.2022
Operated cash register or POS system to receive payment by cash, check and credit card.
Operated Drive thru
Handled customer complaints professionally, ensuring resolution and retention.
Provided exceptional customer service by addressing inquiries and resolving issues efficiently.
Progressive Care Unit Registered Nurse at The Hospitals of Providence Memorial CampusProgressive Care Unit Registered Nurse at The Hospitals of Providence Memorial Campus