Lourdes Sosa
Missouri City,TX
Summary
Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease. Pragmatic Insurance Verification Specialist touting 22 years of expertise in benefits explanation and coverage tracking. A team player with a vast knowledge of medical terms and working with all types of personalities effectively. Offering dynamic organizational skills and attention to detail.
Overview
22
22
years of professional experience
Work History
Insurance Verification Specialist
Hillcroft Medical Clinic Association
02.2007 - Current
- Developed strong relationships with insurance representatives, facilitating smooth communication channels for resolving inquiries or disputes.
- Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
- Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
Medical Assistant & Receptionist
Marc. Kudisch M.D.
01.2002 - 01.2007
- Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
- Reduced wait times by swiftly processing insurance claims, verifying coverage, and obtaining pre-authorizations when necessary.
- Optimized appointment scheduling processes to minimize conflicts and maximize physician, radiology, and procedure availability for patients.
- Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and faxes.
- Empowered patients through education on test results and self-management techniques for conditions.
- Streamlined office operations by managing inventory levels, ordering supplies, and organizing storage areas.
Education
High School Diploma -
Lamar High School
Houston, TXSkills
- Eligibility Determination
- Coverage and Authorizations
- HIPAA Compliance
- Medical Coding
- Data entry proficiency
- Documentation and Correspondence
- Collaborative relationships
- Communication and Interpersonal Skills
- Attention to Detail
- Clerical Support
- Scheduling Office Visits, Tests, and Procedures
Languages
Spanish
Native or Bilingual
Timeline
Insurance Verification Specialist
Hillcroft Medical Clinic Association
02.2007 - Current
Medical Assistant & Receptionist
Marc. Kudisch M.D.
01.2002 - 01.2007
High School Diploma -
Lamar High School
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