Janae Kemery
Maricopa,AZ
Overview
21
21
years of professional experience
1
1
Certification
Work History
Insurance Verification Specialist
Arizona Allergy Associates
Chandler, AZ
01.2007 - 06.2023
- Analyzed complex health plan contracts to determine benefit coverage levels for services rendered.
- Evaluated policies and procedures related to Insurance Verification activities.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Collaborated with internal staff members such as Billing Specialists, Medical Coders to resolve any discrepancies in patients' insurance information.
Senior Authorization Representative
National Imaging Associates
Phoenix, AZ
01.2003 - 12.2006
- Created, tracked and maintained accurate records of all authorization requests.
- Responded promptly to internal and external customers via telephone or written communication.
- Advised medical staff on the status of authorization requests.
Billing Clerk
Medical Billing Systems
Phoenix, AZ
01.2002 - 01.2003
- Prepared periodic reports detailing accounts receivable status.
- Checked figures, postings, and documents for accuracy.
- Processed payments from customers in accordance with company policies and procedures.
Education
Associate of Applied Science - Health Sciences
Pima Community College
Tucson, AZ05-1993
Skills
- Coordination and Scheduling
- Electronic Medical Records
- Understanding of medical terms
- Customer Relationship Management
- Electronic authorization processing
- Patient Rapport
- Medical Billing
- Medical Terminology
- Insurance plan verification
- Coverage and Authorizations
- Customer Service
Affiliations
- I am involved in The Veterans of Foreign Wars Organization and a 4- H Leader
Certification
- I have done accounts receivable in both commerical and medical field. I have a Associates Degree in Nursing.
Timeline
Insurance Verification Specialist
Arizona Allergy Associates
01.2007 - 06.2023
Senior Authorization Representative
National Imaging Associates
01.2003 - 12.2006
Billing Clerk
Medical Billing Systems
01.2002 - 01.2003
Associate of Applied Science - Health Sciences
Pima Community College