Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.
Overview
10
10
years of professional experience
Work History
Insurance Verification
Centene Corporation
07.2022 - Current
Conducted insurance verification and preauthorizations and managed patient charts.
Streamlined the insurance verification process for faster reimbursement rates.
Expedited insurance verification procedures for prompt service delivery and claim processing.
Increased patient satisfaction with thorough insurance verification and accurate billing procedures.
Coordinated with medical professionals to ensure accurate insurance verification and authorization.
Enhanced patient satisfaction with thorough insurance verification and accurate billing procedures.
Claims Examiner
4m Pharmaceuticals
10.2016 - 04.2020
Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
Participated in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively.
Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
Insurance Verification Specialist
4m Pharmaceuticals
06.2014 - 07.2016
Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Updated patient records with accurate, current insurance policy information.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Education
Associate of Science -
Lonestar College
High School Diploma -
Lamar Consolidated High School
Rosenberg, TX
06.2009
Skills
Insurance Verification
Health Insurance Verification
Insurance Verification and Billing
Insurance Eligibility and Verification
Claims Processing
Verbal Communication
Data Verification
Microsoft Office Suite
Computer Skills
Decision-Making
Timeline
Insurance Verification
Centene Corporation
07.2022 - Current
Claims Examiner
4m Pharmaceuticals
10.2016 - 04.2020
Insurance Verification Specialist
4m Pharmaceuticals
06.2014 - 07.2016
Associate of Science -
Lonestar College
High School Diploma -
Lamar Consolidated High School
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