Dedicated professional with proven skills in insurance verification and HIPAA compliance. Experienced in providing exceptional patient service and fostering positive relationships in healthcare settings.
Overview
4
4
years of professional experience
Work History
Precertification Specialist
Fondren Orthopedic Group
Houston
05.2025 - Current
Coordinated with insurance companies to confirm coverage details.
Verified insurance eligibility, coverage levels, and benefit parameters prior to submission of precertification requests.
Assisted with answering provider inquiries regarding preauthorization requirements and processes.
Adhered to applicable laws, regulations, policies, and procedures governing the healthcare industry.
Utilized various software applications such as electronic medical record systems for data entry purposes.
Ensured compliance with all HIPAA regulations pertaining to protected health information.
Explained eligibility details and affordability options to patients with kindness and respect.
Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
Patient Service Representative
Fondren Orthopedic Group
Houston
08.2023 - 05.2025
Facilitated patient flow by coordinating with clinical teams on appointment readiness.
Verified insurance information, collected payments, and scheduled appointments.
Adhered to HIPAA regulations when handling confidential patient information.