Pragmatic Insurance Verification Specialist touting 20 years of expertise in benefits explanation and coverage tracking. A team player with a vast knowledge of medical terms and the ability to work with all types of personalities effectively. Offering dynamic organizational skills and attention to detail.
Overview
20
20
years of professional experience
Work History
Patient Care Coordinator
Vascular Surgery & Association
09.2024 - Current
Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.
Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
Collaborated with interdisciplinary teams to create seamless transitions between various stages of treatment plans, enhancing continuity of care.
Reduced wait times by implementing an effective appointment reminder system for patients, minimizing no-shows and late arrivals.
Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
Coordinated scheduling of appointments to maximize healthcare providers' availability and patient convenience.
Established partnerships with local healthcare providers, expanding options and resources for patient referrals.
Answered incoming calls, scheduled appointments and filed medical records.
Verified patient insurance eligibility and entered patient information into system.
Processed payments using cash and credit cards, maintaining accurate records of transactions.
Front Desk Coordinator
Florida Cancer Specialists & Research Institute
05.2019 - 09.2024
Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
Used OncoEMR to schedule appointments.
Used quick response and dynamic service skills to build relationships with patrons, improving customer retention rate.
Successfully scheduled patient appointments and placed reminder calls to deliver exceptional customer experience.
Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
Insurance Verification Specialist
Innovative Healing
02.2015 - 05.2019
Assured the timely verification of insurance benefits prior to patient procedures or appointments.
Made contact with insurance carriers to discuss their policies and individual patient benefits.
Created company's first employee manual including training and development.
Oversaw daily office operations for staff of 20 employees.
Maintained a strong knowledge of basic medical terminology to better understand services and procedures.
Observed strict procedures to protect sensitive patient information, including medical records and payment data.
Accurately inputted all patient and insurance information into the company's computer system using Athena.
Prior Authorization Specialist
Advent Health North Pinellas
02.2012 - 02.2015
Used NexGen to schedule and manage patient appointments.
Facilitated timely check-in by greeting visitors and establishing the purpose of their visit.
Accurately inputted all patient and insurance information into the company's computer system using NexGen.
Assured the timely verification of insurance benefits prior to patient procedures or appointments.
Made contact with insurance carriers to discuss their policies and individual patient benefits.
Observed strict procedures to protect sensitive patient information, including medical records and payment data.
Supervisor Of Regional Care
CareCentrix Inc.
03.2005 - 09.2011
Responded to customer requests via telephone and email.
1000 calls, emails and faxes per day, addressing customer inquiries, solving problems and providing new product information.
Worked directly with management, Eligibility, and Benefits department to brainstorm, discuss strategy and mitigate customer service issues.
Communicated with people from various cultures and backgrounds, using active listening and interpersonal talents to ensure consistency.
Resolved understaffing issues, disputes, employee terminations and disciplinary procedures.
Assured the timely verification of insurance benefits prior to patient procedures or appointments.
Managed over 500 monthly invoices for organization of 50npeople and maintained accurate processing and verification.
Maintained a strong knowledge of basic medical terminology to better understand services and procedures.
Education
Associate of Science - Health Information Technology
Saint Petersburg Community College
Saint Peters-burg, Florida
Skills
Office administration
Scheduling
Mail Sorting
EMR Systems Proficiency
Insurance Knowledge
Multi-Line Phone Systems
Medical Records Management
Visitor Check-In Skills
Appointment Setting
Time management
Timeline
Patient Care Coordinator
Vascular Surgery & Association
09.2024 - Current
Front Desk Coordinator
Florida Cancer Specialists & Research Institute
05.2019 - 09.2024
Insurance Verification Specialist
Innovative Healing
02.2015 - 05.2019
Prior Authorization Specialist
Advent Health North Pinellas
02.2012 - 02.2015
Supervisor Of Regional Care
CareCentrix Inc.
03.2005 - 09.2011
Associate of Science - Health Information Technology
Saint Petersburg Community College
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