Krystal Saldana
Tampa,FL
Summary
To obtain a position in a respectable organization where my extensive knowledge is what I rely on most. It is why I have such a keen interest in fields like this one. 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
13
13
years of professional experience
1
1
Certification
Work History
Verification Specialist
CCS Medical
Tampa, FL
11.2021 - Current
- Verifies and ensures that accurate, appropriate supporting documentation has been obtained prior to shipment including (patient consent, PWO, insurance verification, or verbal dispensing order and preauthorization as needed.
- Makes outbound calls to Medicare, Medicaid and private insurance companies to obtain benefit and eligibility information.
- Maintains high degree of confidentiality at all times due to access to sensitive information.
- Communicates directly with patients regarding their insurance benefits and coordination with products and programs.
- Determined appropriateness of payers to protect organization and minimize risk.
- Verified client information by analyzing existing evidence on file.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements.
- Updated patient records with accurate, current insurance policy information.
- Achieves stated revenue goals, production, and performance objectives.
Patient Service Specialist
GuideWell Emergency Doctors
LARGO, FL
04.2021 - 04.2022
- Entering new patients into company database.
- Verifying and obtaining authorization from insurance companies.
- Compiling patient charts, scheduling appointments, collecting copays and contracted rates.
- Coordinating admissions, auditing charts for completeness, obtaining missing documents from clinical team.
Branch Coordinator
Apria Healthcare Services
ORLANDO, FL
11.2015 - 11.2020
- Worked with sales team on required patient documents.
- Data entry.
- Reviewed ACIS screens, confirmed patient equipment delivery, post-delivery follow-up, delivery confirmation.
- Coordinated patient Positive Airway Pressure (PAP) classes.
- Prepared paperwork and instructions for patients (Q/A session).
- Organized audit requests, assisted with overnight oximetry program.
- Collected credit cards, billing information, scanned files and records.
- Collaborated with retrieval and preparation of patient equipment.
- Acquired and maintained inventory for warehouse and office supplies.
Customer Quality Specialist
Apria Healthcare Services
01.2013 - 11.2015
- Processed and reimbursed clinical and patient orders.
- Prepared intake with personal information.
- Verified patient's online orders, maintained appropriate documents and follow-up of orders.
- Settled concerns and complaints.
- Adhered, complied and implemented policies and procedures.
Customer Service Representative
Apria Healthcare Services
11.2010 - 12.2012
- Answered telephone, placed and reviewed fax order, inquiries from referral sources and patients.
- Documented referral requests for coordination of care and healthcare provider.
- Assisted with walk-in patients, selection of equipment, supplies, and services.
- Resolved patient/customer issues.
- Identified problems and coordinated appropriate corrective actions.
- Assessed patient's needs, promoted company's products and services.
Education
ASSOCIATE OF SCIENCE DEGREE -
SEMINOLE COMMUNITY COLLEGE
Sanford, FL05.2004
HIGH SCHOOL DIPLOMA -
LAKE HOWELL HIGH SCHOOL
Winter Park, FL05.2003
Skills
- Fluent in English and Spanish, MS Windows XP, MC 98 & 95, Internet navigation, MS Word, Excel, PowerPoint, keyboarding skills (45 wpm), customer service experience, self-motivated, responsible, trustworthy, reliable, dependable, flexible, and team player, patient, work well under pressure, professionally trained Branch Coordinator to ensure competence in the care of diverse patient needs
- Drawing Blood
- Patient Engagement
- Blood Sample Collection
Certification
- CERTIFIED IN BASIC LIFE SUPPORT (CPR & AED), MID-FLORIDA CPR, 05/2021
- CERTIFIED IN PHLEBOTOMY AND EKG, MANHATTAN INSTITUTE, 01/2014
References
AVAILABLE UPON REQUEST
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins
Timeline
Verification Specialist
CCS Medical
11.2021 - Current
Patient Service Specialist
GuideWell Emergency Doctors
04.2021 - 04.2022
Branch Coordinator
Apria Healthcare Services
11.2015 - 11.2020
Customer Quality Specialist
Apria Healthcare Services
01.2013 - 11.2015
Customer Service Representative
Apria Healthcare Services
11.2010 - 12.2012
ASSOCIATE OF SCIENCE DEGREE -
SEMINOLE COMMUNITY COLLEGE
HIGH SCHOOL DIPLOMA -
LAKE HOWELL HIGH SCHOOL
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