Detail-oriented Insurance Verification Representative with expertise in patient communication and HIPAA compliance. Proven track record of streamlining processes and enhancing operational efficiency.
Knowledgeable Insurance Verification Representative with proven track record in efficiently managing insurance claims and verifying patient eligibility. Demonstrated expertise in streamlining verification processes and reducing claim denials. Exhibited excellent analytical skills and attention to detail in fast-paced environment.
Overview
12
12
years of professional experience
Work History
Insurance Verification Representative
Sequence Health
Birmingham, AL
02.2022 - Current
Verified insurance coverage and eligibility for patient services using proprietary software.
Collaborated with healthcare providers to resolve discrepancies in patient information and insurance details.
Maintained accurate records of verification processes, ensuring compliance with industry regulations.
Trained new staff on verification procedures and best practices to enhance team performance.
Streamlined communication between patients, providers, and insurers to expedite the verification process.
Led initiatives to enhance operational efficiency in insurance verification workflows, reducing turnaround times.
Complied with HIPAA guidelines and regulations for confidential patient data.
Updated patient records with accurate, current insurance policy information.
Assisted patients with understanding personalized insurance coverage and benefits.
Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
Achieved insurance pre-authorizations to enable timely patient procedures.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Trained new staff on current, correct insurance verification procedures.
Submit authorizations
Medical Assistant
West Point Family Medical
Vinemont, AL
05.2020 - 10.2021
Administered patient care, including vital signs and medical histories, ensuring high-quality service delivery.
Coordinated patient appointments and follow-ups, optimizing scheduling efficiency and reducing wait times.
Assisted healthcare providers during examinations and procedures, enhancing workflow in clinical settings.
Managed electronic health record (EHR) documentation, maintaining accuracy and compliance with regulations.
Educated patients on treatment plans and medications, promoting understanding and adherence to health protocols.
Trained new staff on clinic procedures and best practices, fostering a collaborative team environment.
Sanitized, restocked, and organized exam rooms and medical equipment.
Obtained client medical history, medication information, symptoms, and allergies.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Performed medical records management, including filing, organizing and scanning documents.
Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
Certified Nursing Assistant
Summerford Nursing Home
Falkville, AL
09.2014 - 04.2020
Provided direct patient care, assisting with daily living activities and ensuring comfort and safety.
Monitored vital signs, documenting changes to support healthcare team decisions.
Collaborated with nursing staff to implement individualized care plans for residents.
Trained new staff on best practices for resident care and facility protocols.
Developed strong relationships with residents, fostering trust and improving their emotional well-being.
Provided high-quality personal care services such as bathing, grooming, dressing, and feeding to ensure patient dignity.
Assisted patients with daily living activities for enhanced comfort and wellbeing.
Education
Medical Billing And Coding - Medical Billing And Coding
Ashworth College
Norcross, GA
04-2022
High School Diploma -
West Point High School
Vinemont, AL
05-2011
Skills
Coverage and authorizations
Customer service
Confidentiality
Accuracy and precision
Microsoft office
HIPAA compliance
Follow-up skills
Attention to detail
Patient communication
Data entry and review
Communication and interpersonal skills
Electronic medical records
Patient confidentiality
Coordination and scheduling
Medicaid
Radiology
Insurance plan verification
Insurance terminology
Deductible & co-pay calculation
Electronic authorization processing
Insurance benefits verification
Private insurance
Teamwork
Insurance authorizations
Medical terminology
Prior authorization processing
Insurance coverage verification
Timeline
Insurance Verification Representative
Sequence Health
02.2022 - Current
Medical Assistant
West Point Family Medical
05.2020 - 10.2021
Certified Nursing Assistant
Summerford Nursing Home
09.2014 - 04.2020
Medical Billing And Coding - Medical Billing And Coding
Insurance Verification Representative at Gastroenterology Consultants Of SavannahInsurance Verification Representative at Gastroenterology Consultants Of Savannah