Holly Wright

Patient Financial Specialist

Resurgens Orthopaedics

Griffin, GA

12.2007 - Current

Offered patients information and assistance navigating insurance coverage.
Recorded information according to insurance company requirements to maximize insurance coverage and reduce patient costs.
Analyzed complex health plan contracts to determine benefit coverage levels for services rendered.
Responded promptly to customer inquiries regarding their benefits and eligibility status.
Evaluated policies and procedures related to Insurance Verification activities.
Provided excellent customer service to resolve customer complaints in a timely manner.
Maintained a high level of professionalism when dealing with difficult customers.
Informed customers about billing procedures, processed payments, and provided payment option setup assistance.
Monitored changes in insurance policies and communicated relevant updates to staff and patients.
Verified patients' insurance eligibility and benefits prior to appointments and procedures.
Resolved insurance billing issues by liaising between patients, healthcare providers, and insurers.
Assessed patient eligibility for Medicaid, Medicare, and other government assistance programs.
Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
Assisted in the development of referral processes and procedures.
Assisted with verifying insurance eligibility, coverage limits, and benefit plans.
Communicated with insurance companies via telephone or email regarding authorization requirements.
Processed and maintained patient authorizations for services rendered.