Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
References
Timeline
Generic

Leticia Gutierrez

El Paso,TX

Summary

Skilled Insurance Verification Specialist with experience in verifying insurance coverage, understanding policies, and processing claims. Strengths include strong analytical skills, attention to detail, and ability to work under pressure. Proven record of improving efficiency in handling claims and enhancing customer satisfaction through timely resolution of disputes and issues.

Overview

5
5
years of professional experience
1
1
Certification

Work History

Insurance Verification Specialist

Conifer Healthcare Solutions
El Paso , TX
08.2019 - Current
  • Assisted in developing automated systems for streamlining the account verification process.
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
  • Updated patient accounts with insurance verification information to ensure accurate billing.
  • Implemented quality control measures to ensure accuracy of verified information.
  • Navigated through multiple online systems to obtain documentation.
  • Provided guidance on regulatory requirements related to account verification processes.
  • Developed and maintained professional relationships with insurance representatives.
  • Managed multiple tasks and priorities in a high-volume, fast-paced environment.
  • Participated in audits and quality assurance activities related to insurance verification.
  • Retained strong medical terminology understanding in effort to better comprehend procedures.
  • Maintained up-to-date knowledge of insurance policies, including Medicare and Medicaid.
  • Utilized electronic medical records (EMR) systems for documenting verification processes.
  • Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
  • Resolved insurance-related issues and discrepancies to prevent claim denials.
  • Contacted patients to arrange payment arrangements for deductible and out-of-pocket liability.

Education

Some College (No Degree) - Medical Transcriptionist

El Paso Community College
El Paso, TX

Skills

  • Prior authorization processing
  • Deductible & co-pay calculation
  • Electronic authorization processing
  • Insurance benefits verification
  • Insurance terminology
  • Medical terminology
  • Insurance billing
  • Electronic medical records
  • Coordination and scheduling
  • Workflow development
  • Follow-up procedures
  • Insurance claim validation
  • Customer service

Certification

  • Medical Transcription

Accomplishments

  • Director recognition
  • New hire trainer
  • Meet monthly productivity

References

References available upon request.

Timeline

Insurance Verification Specialist

Conifer Healthcare Solutions
08.2019 - Current

Some College (No Degree) - Medical Transcriptionist

El Paso Community College
Leticia Gutierrez