Kristen Witherspoon
Dallas,TX
Summary
Experienced with benefit verification processes and insurance coordination. Utilizes effective communication skills to resolve benefit discrepancies and support patient needs. Knowledge of regulatory guidelines and insurance protocols, ensuring compliance and accuracy in all verifications.
Overview
8
8
years of professional experience
Work History
Benefit Verification Specialist
Witherspoon Mental Health and Wellness
03.2021 - Current
- Provide exceptional customer service by addressing patient concerns regarding coverage and out-of-pocket expenses.
- Ensure compliance with HIPAA regulations during all aspects of the benefit verification process, protecting patient privacy.
- Manage high-volume caseloads while maintaining strict deadlines for completing benefit verifications and authorizations.
- Expedite claim approvals by promptly submitting necessary documentation to insurance providers.
- Reduce claim denials with thorough insurance eligibility assessments prior to service provision.
Member Service Representative
Teladoc Health
09.2016 - 03.2021
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Provided exceptional service through active listening, understanding member needs, and offering appropriate solutions.
- Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
- Enhanced patient satisfaction by efficiently addressing and resolving healthcare-related inquiries.
Education
High School Diploma -
DeSoto High School
DeSoto, TX06-2014
Skills
- Health insurance processing
- Verbal and written communication
- New employee enrollment
- Written and oral communication
- Critical Thinking
- Live chat support
- Patient confidentiality
- Knowledge of HIPPA regulations
- Time management abilities
- Prior Authorization Verification
- Medical Benefits knowledge
- Insurance Verification
Timeline
Benefit Verification Specialist
Witherspoon Mental Health and Wellness
03.2021 - Current
Member Service Representative
Teladoc Health
09.2016 - 03.2021
High School Diploma -
DeSoto High School
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