Demonstrated knowledge of admissions, insurance verification and authorization processes in hospital and medical office settings.
Overview
7
7
years of professional experience
Work History
Lead Insurance Verification Specialist
Providence St. Joseph Health
Portland, OR
2021.02 - Current
Contacts insurance companies to verify authorization requirements for scheduled surgeries.
Provides appropriate patient data to payors to notify of hospital admissions.
Verifies patient insurance eligibility and network status with PSJH facilities.
Coordinates with outside clinics to ensure that authorizations are submitted to payors.
Assists in maintaining team priority E-mail box. Answering inquiries from other departments and completing time-sensitive tasks.
Registrar Position Two Lead
Providence St. Joseph Health
Portand, Ore
2018.01 - 2021.02
Conducted quarterly audits of the Position Two team in order to maintain a high level of work quality.
Followed up on all pending authorizations submitted by the Insurance Verification team by phone, fax and website.
Managed incoming faxes from Insurance Payors and Providers offices to insure timely submission of clinical and supporting documentation.
Registrar
Providence St. Joseph Health
Portland, Ore
2016.11 - 2018.01
Contacted patients before scheduled appointments to verify demographic and insurance information.
Utilized customer service skills and detailed system knowledge to support hospital and clinic operations.
Accessed patient information through a variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
Education
Bachelor of Science - Social Work
Concordia University
Portland, OR
2016-03
Skills
Proficient in EPIC and Prelude
Insurance Plan Verification
Understanding of Medical Terms
Electronic Medical Records
Secure data practices
Time management
Self Motivated
Timeline
Lead Insurance Verification Specialist
Providence St. Joseph Health
2021.02 - Current
Registrar Position Two Lead
Providence St. Joseph Health
2018.01 - 2021.02
Registrar
Providence St. Joseph Health
2016.11 - 2018.01
Bachelor of Science - Social Work
Concordia University
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