Highly efficient and organized consultant with a track record of delivering exceptional results. Thrives in fast-paced environments and renowned for providing excellent customer service.
Overview
35
35
years of professional experience
Work History
Insurance Consultant
CVS HEALTH CORPORATION
Hartford, CT
07.2009 - Current
Ensured compliance with all HIPAA regulations pertaining to protected health information.
Provided follow-up on pending precertification requests to ensure timely processing.
Aided in resolving provider inquiries related to preauthorization requirements and processes.
Assisted in the implementation of new plans, including analyzing data, researching product options, and coordinating with internal departments.
Offered expertise and support to clients in navigating health insurance plans.
Guaranteed compliance with state requirements for health insurance coverage.
Followed up with providers and insureds when resolving billing disputes.
Biller
Central Reserve Life Insurance
Strongsville , OH
08.1989 - 12.1996
Researched and resolved discrepancies in patient accounts, insurance claims, and billing records.
Attended relevant training courses as required by management or regulatory bodies.
Maintained detailed records of all transactions related to insurance billing activities.
Developed strong working relationships with internal departments and external stakeholders.
Adhered to HIPAA guidelines regarding confidentiality of patient data at all times.