ILEAN HICKS
Cedar Hill,TX
Summary
Hands-on individual boasting a career spent managing administrative tasks in fast-paced offices with relative ease. A well-trained Insurance Verification Specialist offering a background in contacting insurance companies for critical information and crafting patient documents for billing purposes.
Overview
10
10
years of professional experience
Work History
Insurance Verification Specialist
Southwest Diagnostic Imaging
DALLAS , TX
2014.09 - Current
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
- Interpreted Explanation of Benefits statements from various insurers and communicated relevant information with other departments as needed.
- Responded promptly to customer inquiries regarding their benefits and eligibility status.
- Participated in training sessions on new software programs used for verification purposes.
- Updated patient and insurance data and input changes into company computer system.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Accessed third-party insurance databases to identify coverage of benefits.
- Created and sent time of service letter to inform patient of estimated self-pay balance.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
- Answered telephones and directed calls to appropriate medical or adminstrative staff.
Education
High School Diploma -
School Of Health Professions
Dallas, TX1981-05
Skills
- Electronic Medical Records
- Secure data practices
- Patient Rapport
- Medicaid knowledge
- Customer Service
- Insurance Coverage Verification
- Insurance terminology
- Coverage and Authorizations
- Understanding of medical terms
- Insurance plan verification
- Documentation and Correspondence
- Eligibility Determination
- Electronic authorization processing
- Workflow Development
- Patient Communication
- Insurance knowledge
- Referral Coordination
- HIPAA Compliance
- Radiology Knowledge
Timeline
Insurance Verification Specialist
Southwest Diagnostic Imaging
2014.09 - Current
High School Diploma -
School Of Health Professions
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