Erika Galvan
Midlothian,TX
Summary
Dedicated Bilingual professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
17
17
years of professional experience
Work History
Insurance Administrator
Methodist Health Systems
07.2022 - Current
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Created estimated amount due at the time of service and contacted patient to go over financial responsibility utilizing Epic Systems.
Insurance Verification Specialist
Southwest Diagnostic Imaging
07.2021 - 05.2022
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Communicated verification and authorization status updates with scheduling department to facilitate decision-making for patient admissions and insurance coverage.
Insurance Specialist
Dr. Dennis Minotti
06.2018 - 12.2018
- Verify all insurance benefits for Regenerative Orthopedics and Osteopathic Manipulation procedures
- Assisted with all front desk duties such as answering phones, scheduling appointments and collecting copays
- Assisted with submission of paper bills and some electronic filing.
Insurance Verification Representative
Gateway Diagnostic Imaging
10.2016 - 06.2018
- Verify insurance benefits for all outpatient diagnostic testing
- Obtain all precertification/authorizations for MRI, CT, and Ultrasounds for all scheduled patients in a timely manner
- Discussed payment options for patients and provided explanation of benefits as well
- Assisted with answering phones and scheduling patients for procedures.
Insurance Administrator
Orthofix
04.2014 - 03.2016
- Book orders for Biostim products and negotiate pricing and coverage of Orthofix products
- Understand and promote Compliance adherence
- Build and maintain professional communication with corporate accounts, territory managers, region managers, case managers and others
- Determine revenue amounts based on allowable, benefits, unit price, pater guidelines, co-payment and booking policy
- Perform a wide variety of duties requiring initiative and a degree of judgment in solving problems.
Insurance Verification Specialist
Preferred Imaging
06.2009 - 04.2014
- Maintain accurate, timely and thorough documentation regarding verification and account activity
- Responsible for verifying Government, Commercial, Auto,
- Workers Compensation Carriers for 16 clinics
- Calculate patients time of service amount prior to appointment
- Obtain all precertification and prior authorizations prior to scheduling the patient as well.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
Front Desk Receptionist
HealthCareClinics
11.2007 - 11.2008
- Handled all appointment confirmations and scheduling for the practice
- Assisted all 3 physicians with verification of benefits and checked in patients as well as prepared patient charts.
Education
Diploma - Medical Assisting
High Tech Institute
Irving, TX06.2006
GED -
Grand Prairie SER
Grand Prairie, TX06.2004
Skills
- Electronic Medical Record
- Insurance Terminology
- Communication and Interpersonal Skills
- Coverage and Authorizations
- Organization and Time Management
- Customer Relationship Management
- Insurance Plan Verification
- Customer Service
Languages
Spanish
Timeline
Insurance Administrator
Methodist Health Systems
07.2022 - Current
Insurance Verification Specialist
Southwest Diagnostic Imaging
07.2021 - 05.2022
Insurance Specialist
Dr. Dennis Minotti
06.2018 - 12.2018
Insurance Verification Representative
Gateway Diagnostic Imaging
10.2016 - 06.2018
Insurance Administrator
Orthofix
04.2014 - 03.2016
Insurance Verification Specialist
Preferred Imaging
06.2009 - 04.2014
Front Desk Receptionist
HealthCareClinics
11.2007 - 11.2008
Diploma - Medical Assisting
High Tech Institute
GED -
Grand Prairie SER
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