Summary
Overview
Work History
Education
Skills
Timeline
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JOETTA DIAL

MORGANTOWN,WV

Summary

Adept Insurance Specialist with a proven track record at Thomas Memorial Hospital, enhancing customer satisfaction and streamlining policy management. Skilled in HIPAA compliance and insurance verification, coupled with exceptional customer service abilities. Achieved significant improvements in process efficiency and maintained rigorous standards in documentation and policy analysis.

Overview

11
11
years of professional experience

Work History

INSURANCE SPECIALIST

THOMAS MEMORIAL HOSPITAL
03.2024 - Current

Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.

  • 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.
  • Complied with HIPAA guidelines and regulations for confidential patient data.
  • Processed eligibility and benefits verification and authorization requests.
  • Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
  • Maintained high standards of customer service by building relationships with clients.
  • Communicated effectively with members of operations, finance, and clinical departments.
  • Maintained a high level of industry expertise through continuous professional development courses and certifications in the field of insurance specialty.
  • Streamlined policy management by regularly updating client information and tracking policy changes.
  • Acted as subject matter expert, answering internal and external questions and inquiries.
  • Utilized [Software] to document and track customer account details.

PRE REGISTRATION

THOMAS MEMORIAL
05.2017 - 04.2024


  • CHECKED FOR NEEDED PRIOR AUTHORIZATION FOR SCHEDULED SERVICES
  • RAN INSURANCE ELIGIBILITY
  • WORKED UP ESTIMATES FOR PATIENTS SCHEDULED TESTS
  • RETRIEVED AUTHORIZATION FOR SPINE AND NERVE DRS FOR RADIOLOGY AND INJECTION
  • WORKED SAME DAY SURGERYS PRIOR AUTHORIZATION
  • SCHEDULED RADIOLOGY FOR APPROVED ORDERS FROM SPINE AND NERVE DOCTORS

FOLLOW UP

Thomas Memorial Hospital
02.2015 - 04.2017
  • Improved customer satisfaction by providing timely updates and resolutions to their claims inquiries.
  • Identified opportunities for process improvement, leading to increased productivity and reduced errors.
  • FOLLOWED UP ON PAID AND UNPAID CLAIMS

Associate

Walmart
07.2014 - 02.2015
  • Worked varied hours to meet seasonal and business needs.
  • Greeted customers and offered assistance for increased customer satisfaction.
  • Prioritized tasks to meet tight deadlines, pitching in to assist others with project duties.
  • Increased customer satisfaction by resolving complex issues and providing exceptional service at all times.
  • Provided product price information to customers.

Crew Member

Little Caesars Pizza
07.2014 - 11.2014
  • Worked front counter, drive-thru and other areas.
  • Took orders, prepared meals, and collected payments.
  • Demonstrated strong multitasking abilities, handling multiple orders simultaneously without compromising quality or efficiency.
  • Worked well with teammates and accepted coaching from management team.

CREW MEMBER

McDonald's
06.2013 - 06.2014
  • Worked front counter, drive-thru and other areas.
  • Took orders, prepared meals, and collected payments.
  • Demonstrated strong multitasking abilities, handling multiple orders simultaneously without compromising quality or efficiency.
  • Worked well with teammates and accepted coaching from management team.

Education

No Degree - NURSING

SOUTHERN COMMUNITY AND TECHICAL COLLEGE
Logan

High School Diploma -

RIPLEY HIGH SCHOOL
Ripley
05.2012

Skills

  • Documentation skills
  • Policy analysis
  • Documentation abilities
  • Reporting skills
  • Insurance law knowledge
  • Customer Service
  • Policy Knowledge
  • Health insurance
  • Deductible Expense Identification
  • Policy Renewals
  • Critical Thinking
  • Customer Complaint Resolution
  • Data Entry
  • Insurance Eligibility
  • HIPAA Compliance
  • Claims Management
  • Medical terminology expertise
  • Medical coding knowledge
  • Insurance Verification
  • Data entry proficiency
  • Prior authorization processing
  • Appointment Scheduling
  • Documentation and paperwork
  • Documentation And Reporting
  • Microsoft Office
  • Medicaid knowledge
  • Program knowledge

Timeline

INSURANCE SPECIALIST

THOMAS MEMORIAL HOSPITAL
03.2024 - Current

PRE REGISTRATION

THOMAS MEMORIAL
05.2017 - 04.2024

FOLLOW UP

Thomas Memorial Hospital
02.2015 - 04.2017

Associate

Walmart
07.2014 - 02.2015

Crew Member

Little Caesars Pizza
07.2014 - 11.2014

CREW MEMBER

McDonald's
06.2013 - 06.2014

No Degree - NURSING

SOUTHERN COMMUNITY AND TECHICAL COLLEGE

High School Diploma -

RIPLEY HIGH SCHOOL
JOETTA DIAL