Summary
Overview
Work History
Education
Skills
Timeline
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Janice Biviens

Saginaw,MI

Summary

Dynamic professional with extensive experience as a Lead Intake Coordinator at Merakey, excelling in HIPAA compliance and insurance verification. Proven ability to enhance patient satisfaction through effective communication and meticulous record management. Skilled in processing claims and fostering a supportive team environment, ensuring accuracy and efficiency in all operations.

Overview

20
20
years of professional experience

Work History

Lead Intake Coordinator

Merakey
03.2010 - 05.2022
  • Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Updated patient records with accurate, current insurance policy information.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
  • Processed medical insurance claims and payments.
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
  • Obtained payments from patients and scanned identification and insurance cards.
  • Coordinated referrals through insurance and other medical specialists and documented details in patient charts.

Dental Insurance Coordinator

North Eastern Dentistry
05.2019 - 07.2021
  • Identified opportunities for process improvements by conducting thorough evaluations of existing policies and procedures.
  • Cultivated a supportive team environment that fostered growth, learning, and open communication among staff members.
  • Reduced wait times for patient appointments by efficiently coordinating schedules and resources.
  • Monitored front areas so that questions could be promptly addressed.
  • Oversaw appointment scheduling and itinerary coordination for both clients and personnel.
  • Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
  • Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
  • Collected, verified, recorded and processed client demographics, insurance payments, and referral information.
  • Communicated with referral sources, physicians, and associated staff to check documentation for proper signatures.
  • Answered phone calls and provided new clients with required paperwork to initiate service
  • Optimized insurance verification processes by implementing innovative strategies which expedited approvals and reduced errors.
  • Improved patient satisfaction with the intake process through attentive listening, empathy, and clear communication.

Behavioral Specialist

Children and Adult Disability Services
04.2009 - 03.2021


  • Implemented evidence-based practices to decrease negative behaviors and increase pro-social skills in students.
  • Coordinated community resources for families, connecting them with relevant support services as needed.
  • Actively monitored student progress using data-driven methods, ensuring appropriate modifications were made when necessary.
  • Evaluated the effectiveness of behavior intervention plans, making adjustments as needed based on data analysis.
  • Maintained open lines of communication between school personnel, family members, and outside service providers regarding student needs.
  • Monitored student performance to evaluate effectiveness of instructional strategies.
  • Provided emotional support to students and families
  • Conducted assessments of students to determine individual needs.

Customer Service/ Teller

Commerce Bank
06.2005 - 09.2009
  • Promoted a supportive team atmosphere by collaborating effectively with colleagues.
  • Accurately processed cash transactions while adhering to strict documentation standards and bank policies.
  • Addressed customer concerns promptly across departments, improving satisfaction rates.
  • Balanced daily cash drawers accurately, ensuring accountability for all financial transactions processed throughout the day.
  • Supported branch management in achieving operational excellence through proactive identification of areas for improvement.
  • Handled various accounting transactions.

Claims Adjuster

State Farm
07.2002 - 2004


  • Verified insurance claims and determined fair amount for settlement.
  • Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
  • Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
  • Prepared summaries of damage, payments, and policy coverage.
  • Reviewed police reports, medical treatment records, and physical property damage.
  • Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity
  • Directed claims negotiations within allowable limit of $Amount and supported successful litigations for advanced issues.

Education

Psychology

Penn State University
Media, PA
05.2005

Associate of Applied Science - Developmental Psychology

Delaware County Community College
Media, PA
05.2003

Skills

  • Accuracy in details
  • Patient privacy protection
  • Compliance with HIPAA
  • Verification of insurance plans
  • Management of electronic records
  • Software skills proficiency
  • Understanding of insurance terms

Timeline

Dental Insurance Coordinator

North Eastern Dentistry
05.2019 - 07.2021

Lead Intake Coordinator

Merakey
03.2010 - 05.2022

Behavioral Specialist

Children and Adult Disability Services
04.2009 - 03.2021

Customer Service/ Teller

Commerce Bank
06.2005 - 09.2009

Claims Adjuster

State Farm
07.2002 - 2004

Psychology

Penn State University

Associate of Applied Science - Developmental Psychology

Delaware County Community College

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