Lori Board
Houston
Summary
Dynamic Surgery Scheduler at Wellspire Medical with a proven track record in insurance verification and policy evaluation. Expert in pre-authorization processing and maintaining data accuracy, while demonstrating exceptional attention to detail and problem-solving skills. Adept at collaborating with medical professionals to enhance operational efficiency and ensure compliance with HIPAA regulations.
Overview
1
1
year of professional experience
1
1
Certification
Work History
Surgery Scheduler
Wellspire Medical
Kingwood
01.2024 - Current
- Evaluated policies and procedures related to Insurance Verification activities.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Collaborated with internal staff members such as Billing Specialists, Medical Coders to resolve any discrepancies in patients' insurance information.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
- Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
- Conducted follow-ups with insurance companies to expedite verification processes.
- Retained strong medical terminology understanding in effort to better comprehend procedures.
Education
Some College (No Degree) - Language Arts Education
Riverside City College
Riverside, CASkills
- Insurance verification
- Attention to detail
- Analytical thinking
- Problem solving
- HIPAA compliance
- Insurance pre-certifications
- Medical office management
- Medical terminology
- Policy evaluation
- Data accuracy
- Pre-authorization processing
- Customer service
Certification
- Licensed Texas All Lines Claims Adjuster
Timeline
Surgery Scheduler
Wellspire Medical
01.2024 - Current
Some College (No Degree) - Language Arts Education
Riverside City College
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