Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.
Overview
11
11
years of professional experience
Work History
Insurance Verification Specialist
Baylor Scott & White Medical Center
09.2022 - Current
Performs financial clearance of patient accounts by verifying insurance eligibility and benefits and ensuring all notifications and authorizations are completed within the required timeframe.
Completes appropriate payor forms related to notification and authorization.
Coordinates the submission of clinical documentation from physicians to payers for authorization needs.
Calculates accurate patient financial responsibility.
Communicates timely with Utilization Review, and collaborates effectively with physician and facility staff to ensure financial clearance of the patient's account prior to scheduled or unscheduled service during the patient's hospital stay.
Interprets complex payer coverage information including, but not limited to, network participation status with provider, limited plan coverage and inactive benefits.
Documents systems according to the Insurance Verification guidelines to assure accurate and timely reimbursement.
Treatment Coordinator
Southwest Allergy & Asthma Center
07.2021 - 08.2022
Researched billing issues, scheduled appointments and verified insurance coverage.
Improved patient satisfaction by effectively communicating treatment plans and addressing concerns.
Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
Presented financial arrangements clearly to patients, enabling informed decisions about payment options and timelines.
Maintained confidentiality of patient data and condition to safeguard health information.
Assistant Director
Kids R Kids Learning Academy
07.2013 - 08.2021
Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
Defined clear targets and objectives and communicated to other team members.
Coordinated cross-departmental collaboration to create interdisciplinary units that enriched students'' understanding of course material.
Assisted the Director in developing innovative programs to improve students'' academic performance and retention rate.
Implemented effective conflict resolution strategies for resolving issues among faculty members or between students.
Created and updated physical records and digital files to maintain current, accurate, and compliant documentation.
Worked closely with management to provide effective assistance for specific aspects of business operations.
Education
Associate of Applied Science - Health Information Management
Collin County Community College
McKinney, TX
05.2026
Certification - Medical Insurance Coding
The College of Health Care Professions
Houston, TX
03.2022
Skills
Patient contact
Customer Service
Document Management
Medical Coding
Data entry proficiency
Attention to Detail
Coordination and Scheduling
Problem-Solving
Healthcare Industry Knowledge
Timeline
Insurance Verification Specialist
Baylor Scott & White Medical Center
09.2022 - Current
Treatment Coordinator
Southwest Allergy & Asthma Center
07.2021 - 08.2022
Assistant Director
Kids R Kids Learning Academy
07.2013 - 08.2021
Associate of Applied Science - Health Information Management