Experienced with insurance verification processes, ensuring accurate and timely handling of patient information. Utilizes strong analytical skills to identify and resolve discrepancies, maintaining seamless operational flow. Knowledge of industry regulations and best practices, contributing to overall efficiency and reduced claim rejections. Knowledgeable in Epic, Onesource, Aura, Salesforce, and Meditech.
Overview
12
12
years of professional experience
Work History
INSURANCE VERIFICATION SPECIALIST
TRINITY HEALTH MIDATLANTIC/ ST MARY MEDICAL CENTER
07.2018 - Current
Created new patient charts to include personal and insurance information and reason for visit.
Processed authorizations for medical tests and procedures.
Obtained signatures for financial responsibility and treatment procedures from patients or guardians.
Identified self-pay patients to refer to financial assistance programs.
Preserved patient accounts by obtaining and updating personal and financial information.
Resolved patient billing issues and collected payments.
Registered patients by obtaining necessary and accurate financial and demographic information.
Posted payments to accounts and maintained records.
Minimized delays in treatment scheduling by promptly identifying potential coverage issues and working proactively towards their resolution.
Trained new staff on current, correct insurance verification procedures.
LEAD INSURANCE VERIFICATION SPECIALIST
Retreat Behavioral Health
01.2022 - 04.2023
Worked within EMR system to document results of patient insurance verification.
Assessed insurance policy terms to determine patient coverage and limitations.
Verified insurance coverage and eligibility prior to appointments and procedures.
Reviewed patient deductibles and copays and entered into billing system.
Followed established verification processes to confirm insurance benefits, medical necessity, and authorization.
Calculated estimated patient financial responsibility via estimation tool.
Assisted with coding procedures and billing processes while ensuring compliance with HIPAA regulations.
Streamlined insurance verification processes to enhance accuracy and reduce delays.
Conducted thorough insurance verifications to ensure patient eligibility and coverage accuracy.
Collaborated with healthcare providers to resolve discrepancies in patient insurance information.
Trained new staff on current, correct insurance verification procedures.
FRONT DESK RECEPTIONIST
NAHA
10.2017 - 03.2020
Answered questions about company location and hours of operation.
Monitored front desk traffic to support customer satisfaction.
Handled multi-line phone system and promptly transferred calls.
Documented and distributed messages to support timely communications.
Assisted with completion of forms or sign-in procedures.
Entered data into company software system.
Opened and closed main office in alignment with established security procedures.
REGISTRATION CLERK
Lower Bucks Hospital
03.2013 - 08.2018
Created new patient charts by inputting demographics, medical histories and insurance information into system.
Instructed and counseled patients and families on available insurance and financial options.
Reviewed admission packet with patients to collect consent for treatment.
Responded to patients' inquiries regarding admittance, treatment and billing procedures.
Collected and entered co-pays and deductibles into system.
Understood medical terminology and standard insurance forms to help patients properly fill out forms and complete billing procedures.
Processed patient registrations efficiently using electronic health record systems.
Verified insurance information and collected necessary documentation for accurate record-keeping.
Education
HIGH SCHOOL DIPLOMA -
Harry S Truman
Levittown, PA
06.2004
Skills
Insurance Verification
Customer Satisfaction
Patient Registration
Insurance Company Knowledge
Electronic Health Records Systems
Demographics Information
Patient Admission
EMR Updating
Patient Contact
Registration Coordination
Outbound Calling
Accounts Payable And Accounts Receivable
Payment Calculation
Eligibility Determinations
Insurance Form Processing
Organization And Time Management
Punctual And Hardworking
Attention to detail
Patient confidentiality
HIPAA compliance
Insurance coverage verification
Prior authorization processing
Timeline
LEAD INSURANCE VERIFICATION SPECIALIST
Retreat Behavioral Health
01.2022 - 04.2023
INSURANCE VERIFICATION SPECIALIST
TRINITY HEALTH MIDATLANTIC/ ST MARY MEDICAL CENTER
Medical ICU Registered Nurse at Trinity Health Travel( St. Agnes Medical Center)Medical ICU Registered Nurse at Trinity Health Travel( St. Agnes Medical Center)