Dedicated administrative professional with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision.
Overview
6
6
years of professional experience
Work History
Insurance Verification Specialist
San Diego Heart and Vascular Associates
08.2018 - Current
Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Updated patient records with accurate, current insurance policy information.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Scheduled appointments with specialists on behalf of clients.
Processed referral requests from patients, doctors and other health care professionals.
Responded to patient inquiries to offer timely updates regarding referral status.
Arranged pre-operative and post-operative appointments for surgical patients.
Expertly managed planning, scheduling, and coordination of outpatient procedures.
Verified insurance coverage and obtained pre-authorizations.
Processed payments and applied to customer balances.
Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
Checked patient insurance, demographic, and health history to keep information current.
Adhered to strict HIPAA guidelines to protect patient privacy.
Managed multi-line phone system and pleasantly greeted patients.
Education
Medical Assistant Certificate -
Grossmont Health Occupation Center
Santee, CA
02-2014
High School Diploma -
Sweetwater High School
National City, CA
06-2007
Skills
Attention to Detail
Patient confidentiality
HIPAA Compliance
Insurance Coverage Verification
Telephone Etiquette
Patient Scheduling
Insurance Verification
Appointment management
Payment Collection
Epic
Medical terminology knowledge
Insurance understanding
Languages
English
Spanish
Timeline
Insurance Verification Specialist
San Diego Heart and Vascular Associates
08.2018 - Current
Medical Assistant Certificate -
Grossmont Health Occupation Center
High School Diploma -
Sweetwater High School
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