Open To Work
Dorlica B Frank
Sugar Land,TX
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
19
19
years of professional experience
4
4
years of post-secondary education
Work History
Ambulatory Surgery Insurance Verifier
Kelsey-Seybold
Pearland, TX
11.2023 - Current
- Scheduled patient appointments using electronic health record systems.
- Coordinated communication between patients and healthcare providers effectively.
- Managed patient inquiries, providing accurate information and support.
- Confirmed patient insurance eligibility and coverage specifics for medical services.
- Liaised with insurance companies to clarify patient benefits and authorization requirements.
- Evaluated and validated insurance claims for accuracy and compliance with policies.
- Guided patients in comprehending insurance options and responsibilities.
- Executed meticulous records management of patient interactions and insurance verification processes.
- Partner with healthcare providers to secure timely authorization for treatments.
Account Receivable/Payable
Southwest Asthma and Allergy Associates
08.2012 - 11.2023
- Post all payments, appeals and explanation of benefits
- Maintain listing of accounts receivables and payments
- Review and submit health insurance claims
- Appeal claims for various reasons for payments
- Assist customers on resolving balances on outstanding accounts
- Compile monthly statements forwarded to patient via mail
- Monitor customer account details for non-payment, delayed payments and other irregularities
- Follow up with insurance companies to check status of claims
Insurance Verifier
Southwest Asthma and Allergy Associates
10.2007 - 08.2012
- Maintained and updated database for protected health information
- Provided accurate and consistent information to all customers regarding insurance verification
- Completed 70 - 80 insurance verifications by both phone and fax daily
Education
High School Diploma -
DeRidder High School
08.1989 - 05.1993
Skills
- Insurance Verification & Knowledge of Prior Authorization
- Knowledge of Hippa Regulations
- Multitasking and time management
Work Preference
Job Search Status
Open to workWork Type
Part TimeLocation Preference
RemoteSalary Range
$45000/yr - $200000/yrTimeline
Ambulatory Surgery Insurance Verifier
Kelsey-Seybold
11.2023 - Current
Account Receivable/Payable
Southwest Asthma and Allergy Associates
08.2012 - 11.2023
Insurance Verifier
Southwest Asthma and Allergy Associates
10.2007 - 08.2012
High School Diploma -
DeRidder High School
08.1989 - 05.1993