Julana Edwards
Sunrise,FL
Summary
Diligent [Desired Position] with solid background in insurance verification and proven track record of ensuring accurate and efficient processing of patient information. Successfully identified discrepancies and facilitated resolutions to improve workflow and reduce claim denials. Demonstrated expertise in communication and problem-solving.
Insurance professional with strong background in verifying insurance coverage and benefits. Skilled in navigating complex systems, resolving discrepancies, and ensuring accurate information. Known for excellent team collaboration and adaptability to changing needs. Efficient in communication, problem-solving, and maintaining high standards for quality and results.
Overview
9
9
years of professional experience
Work History
Customer Service /Insurance Verification Specialist
Health Insurance Alliances
04.2024 - Current
- 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.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Customer Service Representative
Nations Benefits
10.2021 - 01.2024
- I worked as a CRS for Aetna Extra Benefits , I assisted members with their extra benefits , online otc orders , placing orders , trouble shooting inquiries and much more
Customer Service Representative
Alorica
01.2020 - 11.2021
- I worked as a CSR For credit unions , I assisted in all banking inquiries
Customer Service Representative
Teleperformance
08.2017 - 11.2021
- I was a customer service representative for United Healthcare , I assisted members with their insurance inquiries
Team Member
McDonald's
01.2016 - 03.2017
- As a Team member working for McDonald's I worked in The drive thru window , assisted with taking orders , and also providing to go bags for customers
Education
High School Diploma -
05-2020
Skills
- Patient confidentiality
- Data entry proficiency
- Patient contact
- Prior authorization processing
Accomplishments
- Documented and resolved verification issues which led to the policy being sold.
Timeline
Customer Service /Insurance Verification Specialist - Health Insurance Alliances
04.2024 - Current
Customer Service Representative - Nations Benefits
10.2021 - 01.2024
Customer Service Representative - Alorica
01.2020 - 11.2021
Customer Service Representative - Teleperformance
08.2017 - 11.2021
Team Member - McDonald's
01.2016 - 03.2017
Dillard Highschool - High School Diploma,