Overview
Work History
Education
Timeline

Elisa Govea

Mesa,Arizona

Overview

18
18
years of professional experience

Work History

Insurance Verification and Eligibility Specialist

CVScaremark
10.2020 - Current

Dynamic Insurance Verification Specialist recognized for consistently safeguarding sensitive patient data and possessing in-depth expertise in navigating the intricacies of Medicaid and private policy benefits. Known for my exceptional ability to build strong relationships and communicate effectively, I am excited about the prospect of embracing new challenges with a forward-thinking company that values both dynamic capabilities and a robust work ethic.

In my role as a dedicated Patient Account Representative, I consistently delivered top-tier customer service and elevated patient care standards. As an adaptable team player, I honed my creative problem-solving skills over four years of experience in healthcare and customer service. Now, I am actively seeking a full-time position that not only presents professional challenges but also allows me to leverage my interpersonal skills, time management, and effective problem-solving abilities.

Proactively contributing to a positive work environment, I served as a detail-oriented Benefit Verification Specialist, ensuring the confidentiality of patient data and demonstrating a comprehensive understanding of Medicaid and private policy benefits. With a track record of strong relationship-building and effective communication, I am eager to bring my expertise to a company that values dynamic skills and a robust work ethic, providing me with opportunities to tackle fresh challenges.

Motivated by a passion for excellence, my four years as a Benefit Verification Specialist have honed my highly effective time management, conflict resolution, and communication skills. I am enthusiastic about joining a team that appreciates professional challenges and allows me to apply my well-developed interpersonal skills and adept problem-solving abilities.

  • Determine If re-authorization needed for new order.
  • Verify Insurance eligibility.
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
  • Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
  • Retained strong medical terminology understanding in effort to better comprehend procedures.
  • Followed specific security rules and guidelines to protect sensitive data, including patient medical records and payment card information.
  • Updated all patient and insurance data regularly and carefully inputted changes into company's computer system.
  • Checked documentation for appropriate coding, catching errors and making revisions.
  • Verified that patients had proper insurance coverage prior to any procedures or appointment scheduling.
  • Created and maintained accurate and confidential patient files according to regulatory mandates.
  • Updated patient financial information to promote accurate record keeping.
  • Microsoft Office Suite: Excel, PowerPoint, and Word
  • Customer Services
  • CPT
  • Insurance Verifications
  • HCPCS Training
  • Medical Collections
  • ICD-10
  • Medical Records
  • LOA's
  • Customer Services
  • Forms
  • ICD-9
  • Organizational Skills
  • Receiving
  • Researching
  • Scheduling
  • Spreadsheets
  • Time Management
  • Insurance Verification
  • File Coordination
  • Team Collaboration
  • Administrative Support
  • Patient Care
  • HIPAA Understanding
  • Verbal and Written Communication

Project Manager

IntoTheDarkroom
10.2008 - 01.2020

As Project Manager for Intothedarkroom, I oversaw website design and development projects by defining their scope and delegating tasks to the appropriate staff members. My dedication to ensuring client satisfaction was reflected in my management of our Zendesk support system. I also provided brand coaching to clients, teaching them how to grow their business through lead capture, SEO best practices, social media marketing, and other methods. During my time at Intothedarkroom, I was responsible for managing a database of over 50,000 global clients. Thanks to my strong leadership and organizational skills, our team was able to meet project deadlines and exceed client expectations consistently. Through my efforts, our clients were able to achieve their business goals and thrive in their respective industries. Overall, I am proud of the impact I made as a Project Manager at Intothedarkroom, and I am confident that my experience and skills make me an excellent fit for any organization seeking a results-driven and dedicated Project Manager. Some of my other tasks included:

  • Assisted with social media management and contributed to product design.
  • Created company profiles and "How To" documentation for our product line.
  • Contributed design and construction ideas to project teams.
  • Coordinated events with clients, staff, and vendors (e.g. WPPI Convention).
  • Communicated daily with clients worldwide and developed detailed project plans to monitor progress.
  • Developed processes to improve job flow and ensure project management standards were followed.
  • Handled customer requirements for product testing and inspections.
  • Created and fulfilled project contracts according to terms and conditions.
  • Identified plans and resources required to meet project goals and objectives.
  • Planned, designed, and scheduled phases for large projects.
  • Developed and implemented strategic project plans to meet business objectives.
  • Prepared and submitted project invoices for review and approval.
  • Coordinated with cross-functional teams to resolve project issues and mitigate risks.
  • Monitored project performance to identify areas of improvement and make adjustments.

Project Manager, Client Services

Countrywide
01.2006 - 10.2008

I assisted all senior consultants with project budgeting, creation and planning to ensure that the projects stayed in line with the given proposals. While at Countrywide i ran a team of representatives that offered customer service care for the reverse mortgage clients. Some of my other tasks included:

  • Achieved time, cost and performance objectives by identifying possible deviations from the project baseline, and proposing preventative and corrective actions.
  • Confirm all project documentation is complete and in compliance.
  • Planned, designed, and scheduled phases for large projects.

Education

Texas A&M University - Kingsville, Kingsville, TX

High School Diploma -

Texas Christian Academy, Alice, Tx
2001

Timeline

Insurance Verification and Eligibility Specialist - CVScaremark
10.2020 - Current
Project Manager - IntoTheDarkroom
10.2008 - 01.2020
Project Manager, Client Services - Countrywide
01.2006 - 10.2008
Texas A&M University - Kingsville - ,
Texas Christian Academy - High School Diploma,
Elisa Govea