Joy Gibson
Sherman
Summary
Proven Analyst/Insurance Specialist with a track record of enhancing process efficiency at Huron Consulting Group Inc. Excelled in insurance verification and organization skills. Ability to handle multiple projects with a high degree of accuracy. Demonstrated ability to provide a stellar patient experience when having to discuss financial obligations and explaining benefits. Expert in navigating HMO, Medicaid, PPO, and Workers Compensation.
Overview
22
22
years of professional experience
Work History
Analyst/Insurance Specialist
Huron Consulting Group Inc.
04.2020 - 01.2025
- Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency.
- Performed front end duties for a large, multi-hospital system in CA. Obtained authorizations in a heavily managed care state to include hmo, ppo, workers compensation and VA. Determined whether the payor was the insurance company or the medical group for a particular service.
- Called patients for pre registration and set up payment arrangements for 60 plus patients per day while creating an excellent patient experience.
Insurance Verifier
Baylor Scott & White Corporate and Heart Hospitals
06.2013 - 04.2020
- Streamlined the verification process with meticulous attention to detail, ensuring accurate data entry and documentation.
- Provided exceptional customer service during interactions with clients, addressing concerns or questions promptly and professionally.
- Obtained authorizations for multiple hospitals and outpatient clinics.
- Notified payors of inpatient admissions and observation stays. Confirmed the precertification requirements prior to arrivals. HMO, PPO, Workers Compensation and medicaid plans.
Front Office Supervisor
Wound Care Consultants
03.2003 - 05.2013
- Trained new front office staff, ensuring thorough understanding of policies and procedures.
- Supervised the front office staff as well as coordinated care with five outpatient clinics and hyperbaric oxygen facilities.
- Pre certified hyperbaric oxygen treatments for three medical facilities as well as all five outpatient wound care such as MRI, CT Scans, Bone Scans and WBC testing and graft applications as needed.
- Entered charges and payments, FAA pilot physical results into the FAA System. Maintained physician schedules at each locations. In addition, maintained adequate referrals and authorizations for all treatment provided with correct physician documentation.
Education
No Degree - General Studies With Science Base
Collin County Community College
Plano, TXSkills
Office Supervisor
Insurance Verification
Healthcare Compliance
Customer Service
HIPAA Knowledge
Time Management
Leadership Abilities
Problem Solving
HMO, Medicaid, PPO and Workers Compensation
Medi Analytics and Epic experience
Timeline
Analyst/Insurance Specialist
Huron Consulting Group Inc.
04.2020 - 01.2025
Insurance Verifier
Baylor Scott & White Corporate and Heart Hospitals
06.2013 - 04.2020
Front Office Supervisor
Wound Care Consultants
03.2003 - 05.2013
No Degree - General Studies With Science Base
Collin County Community College
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