Jodie Wright
Vidor
Summary
Results-driven Insurance Specialist with extensive experience in Cancer Care. Expertise in claims management, regulatory compliance, and policy analysis, ensuring timely approvals and reducing claim denials. Proven ability to enhance customer satisfaction through effective communication and problem resolution, while building strong patient relationships.
Overview
26
26
years of professional experience
Work History
Insurance Specialist
Baptist Cancer Center
01.2017 - Current
- Minimized claim denials by managing timely patient insurance verifications.
- Resolved billing discrepancies by coordinating effectively with healthcare providers.
- Secured insurance authorizations for patient imaging and testing procedures.
- Accelerated patient care by appealing claims and denials promptly.
- Facilitated referrals for patients to physicians and vice versa efficiently.
- Cross-trained staff to ensure coverage for various positions and responsibilities.
Insurance Auditor
Altus Cancer Center
06.2011 - 01.2017
- Enhanced operational efficiency by analyzing financial records and documenting discrepancies.
- Conducted audits ensuring insurance claims met regulatory accuracy and compliance standards.
- Streamlined reporting processes led to improved accuracy in audit result documentation.
- Facilitated staff training on auditing best practices to ensure process consistency.
- Collaborated with teams to address audit findings and implement recommended solutions.
Insurance Specialist
Cancer Center of Southest TX
05.2007 - 04.2011
- Improved patient understanding of benefits by analyzing insurance policies.
- Resolved insurance inquiries promptly, enhancing overall customer satisfaction.
- Verified eligibility and processed authorization requests efficiently and accurately.
- Followed up on denials and late payments to ensure timely resolutions.
- Tracked authorizations diligently to prevent discrepancies and revenue loss.
- Collaborated with carriers to resolve payment discrepancies effectively.
Insurance Specialist
William A Fawcett IV, MD
12.2002 - 08.2007
- Also worked for Dr. Fawcett - 05/1994 - 05/2000
- Verified patient insurance coverage and explained insurance billing procedures.
- Audit records to make sure that billing was correct.
- Obtain insurance referrals for office visits and allergy immunizations.
- Bill and collect payments for services provided.
- Work medical records request for outgoing records.
- Submitted claims to insurance carriers for processing and payment.
- Worked insurance denials.
Insurance Specialist
Intermountain Healthcare
05.2000 - 12.2002
- Verified insurance coverage and explained insurance billing and procedures.
- Worked outgoing insurance referrals for patients to see specialist.
- Managed clinic schedules for a multi-physician office.
- Managed medical records request.
- Managed Pop-Up Clinic for the SLC Winter Olympics 2002- overseeing staff and personnel.
- Worked multi line phone system
- Followed up on patients lab work and imagaing, obtaining the records.
Education
High School Diploma -
Vidor High School
Vidor, TXSkills
- Documentation skills
- Policy analysis
- Regulatory compliance
- Account management
- Documentation
- Claims management
- Customer service
- Health insurance
- Customer follow-up
- Insurance coverage verification
- Customer complaint resolution
- Policy Knowledge
- Customer billing
- Billing inquiries
- Records maintenance
- Insurance eligibility
- Billing procedures
- Customer account review
- Call center customer service
Timeline
Insurance Specialist
Baptist Cancer Center
01.2017 - Current
Insurance Auditor
Altus Cancer Center
06.2011 - 01.2017
Insurance Specialist
Cancer Center of Southest TX
05.2007 - 04.2011
Insurance Specialist
William A Fawcett IV, MD
12.2002 - 08.2007
Insurance Specialist
Intermountain Healthcare
05.2000 - 12.2002
High School Diploma -
Vidor High School