Keitoria Madison
Red Oak
Summary
Passionate and professional Representative leads outreach efforts, strategic direction and day-to-day function management. Proven talent at building relationships and influencing others to gain support and commitment. Excellent presentation and communication skills and comfort working in fast-paced environment.
Overview
9
9
years of professional experience
Work History
Rep II, Operations - Med D Prior Auth IB Phone Tec
Conflux Systems
Alpharetta
08.2024 - 02.2025
- Managed customer inquiries and provided accurate information about products.
- Assisted in processing orders and ensuring timely delivery to customers.
- Collaborated with team members to resolve customer issues effectively.
- Utilized CRM systems to manage customer relationships and follow-ups effectively.
- Demonstrated strong problem solving skills when faced with challenging situations or complex inquiries from customers.
- Assessed company operations for compliance with safety standards.
Insurance Verification Specialist
Kidscare Home Health
Addison
05.2024 - 07.2024
- Verified patient insurance eligibility and benefits for specialty medications.
- Communicated with healthcare providers to obtain necessary documentation.
- Utilized pharmacy management systems for accurate data entry and updates.
- Responded promptly to customer inquiries regarding their benefits and eligibility status.
- Scheduled and confirmed patient appointments and consultations.
- Communicated with patients with compassion while keeping medical information private.
Insurance Verification Specialist
The Wellness Center
Fort Worth
03.2024 - 05.2024
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Updated patient and insurance data and input changes into company computer system.
- Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
- Navigated through multiple online systems to obtain documentation.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
Team Lead, Insurance Verification Specialist
Medical Practice Solutions
Richards
09.2020 - 12.2023
- Led daily team meetings to discuss project updates and address concerns.
- Coordinated task assignments to ensure efficient workflow among team members.
- Trained new employees on company policies and operational procedures.
- Assisted in resolving conflicts within the team to maintain a positive work environment.
- Facilitated communication between departments to streamline project timelines.
- Ensured compliance with company policies and procedures throughout the team.
- Provided support to junior staff during peak periods of workloads.
- Held regular one-on-one coaching sessions with staff members to encourage personal development.
Insurance Verification Specialist
Texas Digestive Disease Consultants
Dallas
01.2016 - 02.2020
- Verified patient insurance eligibility and benefits for specialty medications.
- Communicated with healthcare providers to obtain necessary documentation.
- Utilized pharmacy management systems for accurate data entry and updates.
- Collaborated with healthcare providers to communicate insurance coverage and authorization details.
- Utilized electronic medical records (EMR) systems for documenting verification processes.
- Conducted follow-ups with insurance companies to expedite verification processes.
- Answered telephones and directed calls to appropriate medical or adminstrative staff.
Education
Everest College
Skills
- Customer relationship management
- Insurance verification
- Pharmacy management systems
- EMR documentation
- Data entry accuracy
- Team leadership
- Insurance eligibility verification
- Electronic medical records
- Pre-authorization processes
- Problem solving
- Effective communication
- Attention to detail
- Training and development
- HIPAA compliance
- Meditech
- Data verification
- Healthcare industry
- Follow-up procedures
- Coverage and authorizations
- Prior authorization processing
- Deductible & co-pay calculation
- Medicaid
- Data review
- Insurance coverage verification
- Insurance claim validation
- Customer database systems
- Data entry proficiency
- Data security and confidentiality
- Medical terminology
- Patient communication
- Patient contact
- Data entry and review
- Analytical thinking
- Insurance terminology
- Allscripts
- Teamwork
- Patient health information Access
Timeline
Rep II, Operations - Med D Prior Auth IB Phone Tec
Conflux Systems
08.2024 - 02.2025
Insurance Verification Specialist
Kidscare Home Health
05.2024 - 07.2024
Insurance Verification Specialist
The Wellness Center
03.2024 - 05.2024
Team Lead, Insurance Verification Specialist
Medical Practice Solutions
09.2020 - 12.2023
Insurance Verification Specialist
Texas Digestive Disease Consultants
01.2016 - 02.2020
Everest College
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