Detail-oriented professional with proven expertise in insurance verification and customer service. Skilled in effective communication and organizational skills, ensuring accurate documentation and timely authorizations.
Overview
3
3
years of professional experience
Work History
Nanny
Desiree Royer
Frederick, Maryland
01.2025 - 07.2025
Provided a safe environment for the children through supervision and guidance of their activities.
Helped prepare meals for the children according to dietary guidelines set forth by parents or guardians.
Assisted children with daily activities, such as dressing, bathing, and feeding.
Kept detailed records of each child's progress including meals eaten, naps taken.
Maintained discipline in accordance with parents' instructions while being sensitive to each child’s individual needs.
Monitored the children's playtime to ensure safety and wellbeing.
Transported children to school, extracurricular activities, and appointments when needed.
Front Desk Receptionist
The Temple
Frederick, Maryland
01.2024 - 12.2024
Scheduled appointments for clients, customers, and other visitors.
Processed customer payments using cash registers or point-of-sale terminals according to company policies and procedures.
Managed all incoming mail distribution, courier services, faxes, and photocopying documents as requested.
Monitored office supplies inventory and placed orders when necessary.
Ensured that all necessary forms were completed accurately prior to submitting them for processing.
Updated daily log book with information about visitors entering the premises.
Maintained an organized filing system of confidential client information in accordance with company policy.
Insurance verification and authorization
Radnet
Frederick, Maryland
02.2022 - 12.2024
Verified insurance eligibility for patients and entered information into the system.
Responded promptly to inquiries from healthcare providers regarding status of authorizations.
Acted as a liaison between providers and payers to facilitate timely authorization of services.
Advised physicians regarding coding issues that may affect payment or reimbursement decisions by third party payors.
Processed appeals for denied claims based on lack of required documentation or approval from insurers.
Reviewed medical records to ensure accuracy of diagnosis codes prior to submitting claims.
Nurse Coordinator, Occupational Health Nurse at Spectrum Healthcare ResourcesNurse Coordinator, Occupational Health Nurse at Spectrum Healthcare Resources