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