Kattiya Edwards
Fort Worth,TX
Summary
Detail-oriented Insurance Verification Specialist with a focus on patient confidentiality and HIPAA compliance. Proven ability in insurance coverage verification and eligibility determination, ensuring accurate and timely processing of medical claims.
Dedicated professional with extensive experience in insurance verification and customer support. Skilled in data entry and resolving inquiries efficiently, contributing to enhanced patient satisfaction and streamlined operations in healthcare settings.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Insurance Verification Specialist
AllianceRx Walgreens Prime
Fort Worth, TX
02.2024 - 02.2026
- Verified patient insurance eligibility and benefits using internal systems.
- Reviewed and processed medical claims to ensure accuracy and compliance.
- Assisted healthcare providers in resolving insurance-related inquiries efficiently.
- Communicated effectively with patients regarding coverage details and requirements.
Licensed Insurance Agent
UnifiedHealth
Fort Worth, TX
09.2021 - 01.2024
- Educated clients on insurance products and coverage options to meet individual needs.
- Analyzed client data to provide tailored policy recommendations and enhance satisfaction.
- Processed applications and claims efficiently, ensuring compliance with industry regulations.
- Managed policy renewals and adjustments, maintaining accurate records and documentation.
Technical Support Representative/Billing Specialist
US Support
Shreveport, LA
08.2020 - 10.2021
- Resolved customer inquiries through multiple channels, enhancing overall satisfaction and retention.
- Diagnosed technical issues using remote support tools, providing timely solutions to clients.
- Documented troubleshooting steps in knowledge base, improving team efficiency and response times.
- Trained new representatives on software systems and customer interaction protocols, fostering skill development.
- Managed end-to-end billing processes, ensuring timely and accurate invoice generation.
- Reviewed financial statements to identify discrepancies and resolve billing issues.
Customer Service Advocate
Baylor Scott & White Health
Dallas, TX
05.2019 - 07.2020
- Resolved complex customer inquiries to enhance satisfaction and loyalty.
- Educated patients on services and procedures, fostering informed decision-making.
- Collaborated with healthcare teams to streamline communication and improve service delivery.
- Analyzed feedback trends to identify areas for process improvement and training needs.
Education
Education
Grand Canyon University
Phoenix, AZ05-2028
Skills
- Attention to detail
- Data entry proficiency
- Eligibility determination
- Patient confidentiality
- HIPAA compliance
- Insurance coverage verification
Certification
- Licensed Insurance Agent - September 2021 - Present
Timeline
Insurance Verification Specialist
AllianceRx Walgreens Prime
02.2024 - 02.2026
Licensed Insurance Agent
UnifiedHealth
09.2021 - 01.2024
Technical Support Representative/Billing Specialist
US Support
08.2020 - 10.2021
Customer Service Advocate
Baylor Scott & White Health
05.2019 - 07.2020
Education
Grand Canyon University