Jamie Butler
Waldorf,MD
Summary
Positive Insurance Verifier with an exceptional eye for detail and approachable yet determined attitude. Promoting a background in keeping sensitive patient data confidential while maintaining knowledge of Medicare and private policy benefits. Possessing great relationship building and communication skills. Looking to tackle new challenges with a company that values dynamic skills and a strong work ethic.
Overview
19
19
years of professional experience
Work History
Insurance Verifier
Harborside Surgery Center
National Harbor , MD
2018.02 - Current
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Assured timely verification of insurance benefits prior to patient surgeries.
- Observed strict procedures to protect sensitive patient information, medical records and payment data.
- Established contact with ordering physicians office to resolve any issues or to collect missing vital information.
- Assisted patients with understanding their insurance policies, benefits, and limitations to promote informed decision-making regarding healthcare services.
- Reviewed 100+ patient cases and insurance coverage information per week.
- Answered telephone calls to offer office information and answer questions.
- Collaborated with healthcare providers to obtain required patient information for accurate insurance verification.
- Verified insurance coverage and obtained pre-authorizations.
- Strengthened relationships between insurers, patients, and healthcare providers through clear communication and timely resolution of disputes or inquiries.
- Managed high-volume caseloads efficiently while maintaining strict deadlines for completing verifications.
- Safeguarded client privacy by adhering to stringent HIPAA regulations in all aspects of work responsibilities.
- Streamlined verification process with meticulous attention to detail, ensuring accurate data entry and documentation.
- Performed various administrative tasks by filing, copying and faxing documents.
HIM Analyst/ Medical Biller
University Of MD Charles Regional Medical Center
LaPlata , MD
2005.10 - 2018.02
- Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency.
- Served as valuable resource for colleagues by providing guidance and support related to complex coding questions, medical terminology, or other health information management related inquiries.
- Improve patient data accuracy by diligently reviewing and validating medical records.
- Supported revenue cycle management through efficient handling of billing-related tasks such as charge entry, payment posting, claim submission, denial management, and account follow-ups.
- Playing key roles in achieving successful accreditation surveys by demonstrating thorough knowledge of accreditation standards related to health information management practices during site visits.
- Ensured timely scanning and indexing of over 50 medical records per day for optimal patient care and facility efficiency.
- Effectively utilized statistical data analysis tools and techniques to generate meaningful reports for upper management regarding key performance indicators within' HIM department.
- Performed regular quality and validation assessments on patient data to verify accuracy.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Worked with claims adjusters to expedite processing in alignment with procedures.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Maintained confidentiality of patient finances, records, and health statuses.
- Checked documentation for accuracy and validity on updated systems.
- Enhanced customer satisfaction by efficiently managing insurance claims processes and providing timely resolutions.
Education
High School Diploma -
Thomas Stone High School
Waldorf, MD06.1998
Skills
- Organization and Time Management
- Customer Service
- Detail-Oriented
- Patient confidentiality
- Attention to Detail
- Financial Counseling
- Work Monitoring
- Understanding of medical terms
- Data entry proficiency
- Analytical Thinking
- Skilled in SIS Complete EHR, Vision, Epic (training), Meditech, MS Office Applications
- Knowledge of Medicare and Commerical Payors
- Collaborative relationships
- Insurance coverage verification
- Patient contact
- Problem-Solving
- Self-Motivated
- Excellent Communication
- Multitasking Abilities
- Good Telephone Etiquette
- Flexible and Adaptable
- Analytical and Critical Thinking
- Interpersonal Communication
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeWork Location
RemoteImportant To Me
Work-life balanceCareer advancementCompany CultureFlexible work hoursHealthcare benefits401k matchPaid time offPaid sick leaveTimeline
Insurance Verifier
Harborside Surgery Center
2018.02 - Current
HIM Analyst/ Medical Biller
University Of MD Charles Regional Medical Center
2005.10 - 2018.02
High School Diploma -
Thomas Stone High School
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