Self-motivated insurance verification specialist promoting a background in keeping sensitive patient data confidential, while maintaining knowledge of 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
16
16
years of professional experience
Work History
Insurance Verification Specialist
Parallon-WFH
05.2018 - Current
Contributed to company growth by consistently meeting performance metrics for speed, accuracy, and client satisfaction in the insurance verification process.
Verified patient insurance eligibility and benefits with various insurance providers.
Communicated with healthcare providers to clarify patient information and coverage details.
Educated patients on their insurance benefits and out-of-pocket expenses clearly.
Assisted team members in training on updated insurance policies and verification practices.
Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
Contacted patients to confirm demographic information and communicate financial responsibilities.
Collaborated with internal staff members such as Billing Specialists, Medical Coders to resolve any discrepancies in patients' insurance information.
Team Lead
Metropolitan Methodist at the Quarry ER- Parallon-HCA
04.2017 - 05.2018
Supervised emergency department staff to ensure efficient patient care delivery.
Coordinated departmental schedules to optimize staff availability and resource allocation.
Mentored new team members in operational procedures and best practices.
Monitored compliance with safety regulations and hospital policies during shifts.
Resolved escalated customer complaints or queries promptly and efficiently.
Held regular one-on-one coaching sessions with staff members to encourage personal development.
Monitored team workload to prevent burnout and ensure equitable task distribution.
Registrar
Metropolitan Methodist Emergency Room
09.2016 - 04.2017
Managed patient registration processes efficiently in a high-volume emergency room.
Coordinated insurance verification and billing information for incoming patients.
Utilized electronic health record systems to maintain accurate patient data.
Assisted patients with forms and provided guidance on registration procedures.
Trained new registrars on system navigation and patient interaction techniques.
Maintained compliance with healthcare regulations during the registration process.
Resolved student inquiries related to registration and enrollment issues.
Health Insurance Specialist
Dr. Dawn Rakich OD
07.2009 - 06.2015
Resolved guest issues professionally, maintaining a high level of customer satisfaction, despite challenges.
Drove sales and maximized revenue by upselling rooms and amenities.
Promoted a positive work environment through team-building activities that fostered camaraderie among colleagues.
Established a strong rapport with vendors, negotiating competitive rates while maintaining quality standards for products and services received.
Managed a high call volume with exceptional telephone etiquette, resulting in positive feedback from guests.
Checked the patient's insurance, demographic information, and health history to keep the information current.
Educated clients on benefits and options within their health insurance plans.
Education
Bachelor of Science - Health Administration
Western Governors University
Salt Lake City, UT
08-2029
Skills
Insurance verification
Patient communication
Meditech proficiency
Eligibility determination
Conflict resolution
Customer service
Workflow management
Timeline
Insurance Verification Specialist
Parallon-WFH
05.2018 - Current
Team Lead
Metropolitan Methodist at the Quarry ER- Parallon-HCA