Proven Insurance Verification Specialist with a track record of enhancing patient satisfaction and streamlining operations at Antelope Valley Advanced Imaging Center. Expert in HIPAA compliance and patient confidentiality, adept at improving practice efficiency and insurance verification processes. Demonstrates exceptional attention to detail and patient communication.
Overview
18
18
years of professional experience
Work History
Insurance Verification Specialist
Antelope Valley Advanced Imaging-RADNET
04.2016 - 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.
Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
Practice Coordinator
Southern California Orthopedic Institute
09.2006 - 04.2016
Provided exceptional customer service through active listening techniques, empathic communication methods.
Collaborated with physicians to develop policies and procedures that improved overall practice efficiency.
Maintained accurate records of customer interactions, ensuring proper documentation within the company''s database.
Facilitated smooth communication between patients, insurance companies, and medical staff for seamless coordination of care.
Delivered exceptional support during high call volume periods by maintaining composure and professionalism under pressure.
Streamlined appointment scheduling process by utilizing advanced software tools, optimizing time management for both patients and medical professionals.
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
Providing excellent customer service by promptly answering patient inquiries.
Reduced wait times for patients by efficiently managing daily clinic operations.
Increased patient satisfaction by addressing concerns promptly and professionally.
Maintained a clean, organized, and welcoming office environment for patients and staff members alike.
Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
Communicated closely with patients, ensuring medical information was kept private.
Scheduled surgeries, managed pre-certifications and verified insurance coverage.
Education
No Degree - Medical Assisting
Bryman College
Canoga Park, CA
06.1989
Skills
Attention to Detail
Patient confidentiality
HIPAA Compliance
Insurance Coverage Verification
Eligibility Determination
Coverage and Authorizations
Prior authorization processing
Understanding of medical terms
Medical Terminology
Patient Communication
Timeline
Insurance Verification Specialist
Antelope Valley Advanced Imaging-RADNET
04.2016 - Current
Practice Coordinator
Southern California Orthopedic Institute
09.2006 - 04.2016
No Degree - Medical Assisting
Bryman College
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