KUINI LATU
Riverton,USA
Summary
Diligent with solid background in insurance verification and proven track record of ensuring accurate and efficient processing of patient information. Successfully identified discrepancies and facilitated resolutions to improve workflow and reduce claim denials. Demonstrated expertise in communication and problem-solving.
Overview
8
8
years of professional experience
Work History
Insurance Verification Specialist
Intermountain Healthcare
07.2023 - Current
- Conducted thorough insurance verifications to ensure accurate patient eligibility for billing and claims processing.
- Collaborated with healthcare providers to resolve discrepancies in insurance information and eligibility.
- Streamlined verification processes, reducing turnaround time for authorizations and enhancing workflow efficiency.
- Managed the submission of pre-authorizations to different insurance providers
- Maintained a detailed record of those authorization requests, approval and denials.
- Ensured compliance with insurance regulations and documentation requirements are met.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Passionate about learning and committed to continual improvement.
Customer Service Representative
TruHearing
03.2023 - 07.2023
- Conducted comprehensive hearing assessments to determine patient needs and device suitability.
- Educated patients on hearing loss management and proper device usage for improved health outcomes.
- Optimized patient outcomes by conducting thorough follow-up appointments to assess device effectiveness and comfort levels.
- Resolved customer complaints promptly, preserving positive relationships and maintaining business reputation.
Scheduling And Account Services
DELL EMC
03.2017 - 02.2023
- Manged and scheduled technician routes to ensure an efficient work-flow for the day.
- Processed orders for replacement parts - very detail oriented.
- Communicated with a variety of customers for ensure proper security protocols were followed by technicians to ensure safety at all times.
- Skilled at working independently and collaboratively in a team environment.
- Excellent communication skills, both verbal and written.
Education
High School Diploma - General Studies
Bingham High School
South Jordan, Utah06.2008
Skills
- Attention to detail
- Patient confidentiality
- HIPAA compliance
- Insurance coverage verification
- Prior authorization processing
- Medical terminology
- Document management
- Eligibility determination
- Coverage and authorizations
Timeline
Insurance Verification Specialist
Intermountain Healthcare
07.2023 - Current
Customer Service Representative
TruHearing
03.2023 - 07.2023
Scheduling And Account Services
DELL EMC
03.2017 - 02.2023
High School Diploma - General Studies
Bingham High School
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