Lindsay Snook

• Complied with HIPAA guidelines and regulations for confidential patient data.
• Assisted patients with understanding personalized insurance coverage and benefits.
• Assured timely verification of insurance benefits prior to patient procedures or appointments.
• Made contact with insurance carriers to discuss policies and individual patient benefits.
• Achieved insurance pre-authorizations to enable timely patient procedures.
• Established and maintained relationships with insurance providers for productive communications.

• Check billing for patients
• Call Insurance companies
• Fixed billing problems

• Stayed calm under pressure to and successfully dealt with difficult situations.
• Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
• Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
• Providing excellent customer service by promptly answering patient inquiries.
• Register new patients
• Collect insurance information

• Assist other areas with processing or researching as well as my own
• Assign and monitor inventory daily and assign the work accordingly
• Answer questions for my unit and also assist with ITS questions for a specific image queue
• Assign and monitor Special Investigation Adjustment requests received
• Assign and monitor Mass Adjustment requests received
• Assist other areas with processing or researching high priority items
• Assign Processing Control Agent implementation and modifications
• Answer questions for MERP, FSA, HRA and HSA processing
• Monitor department and unit backlogs and workflow, participates in developing and implementing appropriate backlog strategies
• Represent the Adjustment area in various departmental or corporate projects as assigned
• Provide direct support in the receipt, processing, documenting and responding of claim adjustments and other sensitive or high-level inquiries for Provider Relations and Plan departments
• Processes refunds and credit vouchers and coordinate all activities with Accounting and Collection Departments
• Work cross-functionally (Configuration, Customer Service, Provider Relations, and Clinical) to resolve claim issues
• Assisted in training new Examiners in critical thinking

skills, claims payment policy and procedures, PC, Image, and on-line calculation to supplement the technical training

• Mentored new Examiners
• Assisted in training new Examiners in critical thinking skills, claims payment policy and procedures, PC, Image, and on-line calculation to supplement the technical training
• Processes refunds and credits vouchers and coordinates all activities with Accounting and Collection Departments
• Processes medical emergency appeals by determining medical necessity, patient eligibility and benefit limitations and refers medical necessity issues to MCR (Medical

Claims Review) if appropriate