Hi, I’m
Ivory Anderson
Insurance Verification Specialist
Boynton Beach,FL
Summary
Brings proven track record of success in determining eligibility and resolving complex cases. Works professionally with clients to develop and implement successful strategies for maximizing services and benefits. Skilled in problem-solving and identifying solutions meeting clients' needs.
Overview
8
years of professional experience
7
years of post-secondary education
15
Certifications
Work History
Florida Eye Health ServicesLake Worth, FL
Eligibility and Authorization Specialist
01.2022 - 04.2023
Job overview
- Submits prior authorization requests to patients insurance via phone, fax, or online portal and frequently checks status/ documents authorization progress to ensure approvals are on file prior to patient appointment or surgery.
- Examined forms and other records to verify patient copay, deductible, and coinsurance information and adding to EHR system.
- Established relationships with clients, insurance companies, and doctor offices to foster timely referrals and processing of claims to insurance plans.
- Responsible for identification and authorization of all codes that may be used throughout patient treatments.
- Trained other verification staff members on proper handling and evaluation of copayments and referrals.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Aids Healthcare FoundationWest Palm Beach, FL
Patient Care Specialist
01.2020 - 01.2022
Job overview
- All front office duties such as scheduling, canceling, and rescheduling medical appointments.
- Maintained patient stability by checking vital signs and weight and recording intake and out take information.
- Verifying Patient Insurance/Benefits and Collecting copays
- Issue Patient Medical Records to appropriate party via email, fax, in person.
- Processing specialty referrals in an timely and accurate manner to optimize care and to address clinical needs.
- Obtaining specialist consults and scanning into patents EMR to provide the most complete picture of an patients clinical condition.
Foundcare. Inc.West Palm Beach, FL
Eligibility Specialist/ Medical Case Manager
01.2015 - 01.2020
Job overview
- Compiles, records, and evaluates personal and financial data in order to verify completeness and accuracy, and to determine eligibility status.
- Completes written intake and initial assessment of service needs.
- Enrolls clients in the Affordable Care Act (ACA) at open enrollment and as needed.
- Develops comprehensive individualized Action Plans every 6 months and document progress toward meeting goals.
- Assists clients in negotiating federal, state and local eligibility guidelines for social service/entitlement programs.
- Initiates procedures to grant, modify, deny, or terminate assistance, or refer applicants to other agencies for assistance.
- Maintains detailed case documentation as well as updates evaluation outcomes, reassessments, revisions or changes in plan with regard to agency standards of care and procedures.
- Provides treatment adherence counseling and monitors medical adherence as well as educating client on safe sex practices.
Education
Palm Beach State CollegeLake Worth, FL
Associate of Arts from Public Administration
08.2010 - 12.2013
Boynton Beach Community High SchoolBoynton Beach, FL
High School Diploma
08.2005 - 05.2009
Skills
Insurance policy coverage knowledge
undefinedCertification
Certified Application
Timeline
Eligibility and Authorization Specialist
Florida Eye Health Services
01.2022 - 04.2023
Patient Care Specialist
Aids Healthcare Foundation
01.2020 - 01.2022
Eligibility Specialist/ Medical Case Manager
Foundcare. Inc.
01.2015 - 01.2020
Palm Beach State College
Associate of Arts from Public Administration
08.2010 - 12.2013
Boynton Beach Community High School
High School Diploma
08.2005 - 05.2009
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