Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.
Overview
10
10
years of professional experience
Work History
Insurance Analyst
Baylor Scott & White
12.2019 - Current
Maintained strict confidentiality with all personal data as per company guidelines.
Viewed reports regularly to make sure processing was conducted efficiently.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Verified client information by analyzing existing evidence on file.
Prepared insurance claim forms or related documents and reviewed for completeness.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Communicated verification and authorization status updates to facilitate decision-making for patient admissions and insurance coverage.
Medical Receptionist
CDI
11.2015 - 11.2019
Adhered to strict HIPAA guidelines to protect patient privacy.
Checked patient insurance, demographic, and health history to keep information current.
Helped patients complete necessary medical forms and documentation.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Prepared and processed patient referrals and transfer requests.
Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
Obtained payments from patients and scanned identification and insurance cards.
Medical Front Office Receptionist
Medical And Surgical Clinic Of Irving
04.2014 - 11.2015
Managed multi-line phone system and pleasantly greeted patients.
Coordinated patient scheduling, check-in for Family practice and Urology while collecting payments for co-pays, deductibles, procedure charges and surgery fees.
Completed administrative patient intakes with case histories, insurance information and mandated forms.
Prepared and processed patient referrals and transfer requests.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Education
Associate of Applied Science - Medical Office Management
Kaplan University
Davenport, IA
01.2015
Skills
Claims
Data Entry
Eligibility Determination
Medical Terminology
Prior Authorization Processing
Benefit Coverage
Patient Referrals
Effective Communication Skills
Timeline
Insurance Analyst
Baylor Scott & White
12.2019 - Current
Medical Receptionist
CDI
11.2015 - 11.2019
Medical Front Office Receptionist
Medical And Surgical Clinic Of Irving
04.2014 - 11.2015
Associate of Applied Science - Medical Office Management
Community Health Worker at Baylor Scott&White Quality Alliance, Baylor Scott&White HealthCommunity Health Worker at Baylor Scott&White Quality Alliance, Baylor Scott&White Health
Nurse Supervisor-Medical/Surgical Unit-(Colorectal and Emergency General Surgery) at Baylor University Medical Center-Baylor Scott & WhiteNurse Supervisor-Medical/Surgical Unit-(Colorectal and Emergency General Surgery) at Baylor University Medical Center-Baylor Scott & White
Patient Care Technician/ Patient Observer at Baylor Scott & White McLane Children's Medical CenterPatient Care Technician/ Patient Observer at Baylor Scott & White McLane Children's Medical Center