Kiarra Rivera
Staten Island,NY
Summary
Motivated student with great communication and critical thinking abilities. Successful at approaching and solving various problems with practical solutions. Team-oriented and ready to learn.
Overview
6
6
years of professional experience
Work History
Insurance Verification Specialist II
Columbia Doctors Medical Group
New York, NY
09.2022 - Current
- Analyzed complex health plan contracts to determine benefit coverage levels for services rendered.
- Ensured that the most current version of provider contracts were stored in the database.
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
- Verified patient eligibility for insurance coverage by contacting insurance carriers.
Patient Service Representative/Surgery Scheduling Coordinator
Summit Medical Group
Springfield, NJ
08.2021 - 09.2022
- Ensured that all necessary documentation is completed prior to discharge of patient.
- Scanned documents into electronic health record system as needed.
- Informed patients about payment options, billing policies, and procedures related to their visit or procedure.
- Assisted with the completion of medical forms and records.
- Responded promptly to emails from patients regarding appointment changes or cancellations.
- Assisted with scheduling follow-up appointments according to provider availability.
- Performed administrative duties such as filing, faxing, photocopying.
Patient Service Associate
Children’s Hospital of Philadelphia
Philadelphia, PA
12.2018 - 07.2021
- Answered incoming calls from patients, answered questions about services offered, and directed inquiries to appropriate personnel.
- Performed data entry tasks into electronic health record system.
- Assisted with patient check-in and registration by verifying insurance coverage, collecting co-payments, and scheduling follow-up appointments.
- Performed administrative duties such as filing medical records, completing paperwork, and updating patient databases.
- Processed referrals from primary care providers or other specialists according to established protocols.
Education
Bachelor of Science - Human Services
Liberty University
Lynchburg, VA12-2025
High School Diploma -
Kensington Health Sciences Academy
Philadelphia, PA06-2017
Skills
- Communication and Interpersonal Skills
- Patient Rapport
- Critical thinking and Problem Solving
- Bilingual in Spanish and English
- Knowledge in group facilitation
- Knowledge in intake/ assessment process
- Data Security and Confidentiality
- Analytical Thinking
- Skilled in EPIC and Athena Software's
- Secure data practices
- Attention to Detail
- Insurance terminology
- Electronic Medical Records
- Coordination and Scheduling
- Customer Service
Accomplishments
- Deans list at Liberty University
Languages
English
Native/ Bilingual
Spanish
Professional
References
References available upon request.
Timeline
Insurance Verification Specialist II
Columbia Doctors Medical Group
09.2022 - Current
Patient Service Representative/Surgery Scheduling Coordinator
Summit Medical Group
08.2021 - 09.2022
Patient Service Associate
Children’s Hospital of Philadelphia
12.2018 - 07.2021
Bachelor of Science - Human Services
Liberty University
High School Diploma -
Kensington Health Sciences Academy
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