Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. A team player with a vast knowledge of medical terms and working with all types of personalities effectively. Offering dynamic organizational skills and attention to detail.
Overview
6
6
years of professional experience
Work History
Insurance Verification Specialist
Callahan Eye Foundation Hospital
09.2021 - Current
Answered phone calls and messages for over 100 physicians and medical facility members.
Complied with HIPAA guidelines and regulations for confidential patient data.
Assisted patients with understanding personalized insurance coverage and benefits.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Trained new staff on current, correct insurance verification procedures.
Updated patient records with accurate, current insurance policy information.
Generated reports to track insurance verifications and claim progress.
Completed administrative patient intakes with case histories, insurance information and mandated forms.
Obtained payments from patients and scanned identification and insurance cards.
Achieved insurance pre-authorizations to enable timely patient procedures.
Patient Encounter Specialist
UAB Medicine
04.2020 - 09.2021
Managed over 50 customer calls per day.
Assisted over 50 patients per day during word period.
Processed eligibility and benefits verification and authorization requests.
Answered multi-line phone systems to respond to inquiries and transfer calls to correct departments and personnel.
Maintained confidentiality of patient finances, records, and health statuses.
Collected deposits, fees and payments.
Made sure patients orders and insurance were authorized and valid for upcoming appointments, If not added I would seek to obtain order and/or authorization.
Applied administrative knowledge and courtesy to explain procedures and services to patients.
Compiled and maintained patient medical records to keep information complete and up-to-date.
Healthcare Billing Specialist
Atena
02.2018 - 04.2020
Communicated with insurance providers to resolve denied claims and resubmitted.
Verified insurance of patients to determine eligibility.
Collected payments and applied to patient accounts.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Filed and updated patient information and medical records.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Prepared billing statements for patients and verified correct diagnostic coding.
Education
Bachelor of Science - Business Administration And Management
Valencia College
Orlando, FL
05.2023
High School Diploma -
Poinciana High School
Kissimmee, FL
05.2019
Skills
Bilingual (English-Spanish)
Efficient and Detail-Oriented
Critical Thinking
Complex Problem-Solving
Customer Care
Upbeat and Positive Personality
Data Entry and Maintenance
Customer Data Confidentiality
Customer Service and Support Software
Data Verification
Electronic Authorization Processing
Customer Database Systems
Prior Authorization Processing
Medical Records Verification
CPT Coding
Patient Eligibility Requirements
Timeline
Insurance Verification Specialist
Callahan Eye Foundation Hospital
09.2021 - Current
Patient Encounter Specialist
UAB Medicine
04.2020 - 09.2021
Healthcare Billing Specialist
Atena
02.2018 - 04.2020
Bachelor of Science - Business Administration And Management
Valencia College
High School Diploma -
Poinciana High School
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