Insurance professional with in-depth experience in verifying insurance coverage and handling patient information to ensure smooth operations. Known for reliability and adaptability in dynamic environments, contributing effectively to team goals. Proficient in utilizing verification systems and maintaining comprehensive records while displaying strong attention to detail and collaborative mindset.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Insurance Verification Specialist
Guided Practice Solutions
10.2023 - Current
Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
Provided timely follow up with payers regarding payment status of claims.
Assisted in resolving claim issues related to billing and reimbursement inquiries.
Processed manual claims when necessary due to incorrect or incomplete information from providers or patients.
Collaborated with internal staff members such as Billing Specialists, Medical Coders., to resolve any discrepancies in patient's insurance information.
Participated in training sessions on new software programs used for verification purposes.
Updated patient and insurance data and input changes into company computer system.
Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
Scheduler/Receptionist
Erica Polk DDS
12.2018 - 08.2023
Arranged documents for insurance claims.
Verified, updated and entered patient information into system.
Answered and managed incoming calls and emails.
Maintained master calendar and scheduled new appointments based on provider availability.
Collected payments from patients and arranged payment schedules.
Demonstrated proficiencies in telephone, e-mail, fax and front-desk reception within a high-volume environment.
Scheduled cleanings and dental appointments for patients using Dentrix.
Assembler
Electrolux
05.2017 - 12.2018
Positioned and aligned components to complete accurate assembly work.
Operated welding, press brake, plate rolls, angle and channel rolls and shear.
Set up and performed hand and automatic assembly operations on components, sub-assemblies and assemblies.
Inserted and positioned materials and clamped, spliced and fitted parts using hand and power tools.
Maintained clean work area by removing refuse and debris and organized all tools after completion of each shift.
Determined materials, tools and equipment needed for product order fulfillment.
Set and verified parts clearances to prevent jams or wasted materials.
Coordinator
Nike
11.2008 - 03.2017
Served as link between management and employees by handling questions, interpreting and administering contracts and helping resolve work-related problems.
Partnered with peers and cross-functional teams to align operations with targets and strengthen internal relationships.
Improved team productivity with regular communication and progress updates, fostering a collaborative work environment.
Improved project outcomes with meticulous attention to detail in planning phases, ensuring all requirements were met ahead of deadlines.
Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
Education
Associate of Science - Health Administration
University of Phoenix
Tempe, AZ
Skills
Insurance billing
Team building
First Aid/CPR
Administrative support
Customer service
MS Office
Multi-Line Telephone Systems
Insurance coverage verification
Attention to detail
Data entry proficiency
Coordination and scheduling
Accomplishments
Used Microsoft Excel to develop inventory tracking spreadsheets.
Supervised team of 6 staff members.
Education and Training
UNIVERSITY OF PHOENIX
ASSOCIATE OF SCIENCE
Certification
Microsoft Office Specialist, Microsoft Word, Excel, PowerPoint (MOS) - Microsoft Corporation.
Timeline
Insurance Verification Specialist
Guided Practice Solutions
10.2023 - Current
Scheduler/Receptionist
Erica Polk DDS
12.2018 - 08.2023
Assembler
Electrolux
05.2017 - 12.2018
Coordinator
Nike
11.2008 - 03.2017
Microsoft Office Specialist, Microsoft Word, Excel, PowerPoint (MOS) - Microsoft Corporation.
Associate of Science - Health Administration
University of Phoenix
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