Erica Villasenor
Simi Valley,CA
Summary
Proven Insurance Coordinator with a robust background at West Coast Ear Nose & Throat, excelling in insurance verification and fostering customer satisfaction. Demonstrated leadership in navigating complex insurance processes and a knack for precise eligibility determination. Recognized for enhancing team performance through innovative solutions, ensuring compliance and accuracy in a fast-paced healthcare environment.
Overview
12
12
years of professional experience
Work History
Insurance Coordinator
West Coast Ear Nose & Throat
Simi Valley, CA
11.2012 - Current
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Assessed patient eligibility for Medicaid, Medicare, and other government assistance programs.
- Submitted insurance claims and followed up on denials or discrepancies to ensure prompt payment.
- Secured pre-authorizations and pre-certifications for minor surgical procedures performed in office settings.
- Complied with insurance regulations dictated by local, state and federal agencies.
- Researched policy changes requested by clients and updated their accounts accordingly.
- Resolved insurance billing issues by liaising between patients, healthcare providers, and insurers.
- Explained complex insurance terms and policies to patients, providing clarity and support.
- Completed day-to-day duties accurately and efficiently.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
- Provided support and guidance to colleagues to maintain a collaborative work environment.
- Recognized by management for providing exceptional customer service.
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
Education
High School Diploma -
Simi Valley High School
Simi Valley06-1996
Skills
- Insurance processes
- Insurance verification
- Private insurance
- Remote office availability
- Decision-making
- Leadership
- Research
- Data entry
- Strong organization
- Healthcare industry experience
- Secure data practices
- Insurance terminology
- Electronic authorization processing
- Prior authorization processing
- Insurance benefits verification
- Insurance plan verification
- Insurance coverage verification
- Accuracy and precision
- Healthcare industry
- Coverage and authorizations
- Eligibility determination
- Deductible & co-pay calculation
Timeline
Insurance Coordinator
West Coast Ear Nose & Throat
11.2012 - Current
High School Diploma -
Simi Valley High School
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