Marjorie Barriga
Freeport,NY
Summary
Pragmatic Insurance Verification Specialist touting 13 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
24
24
years of professional experience
Work History
Insurance Verification Specialist
Health Plus Management Services
10.2015 - Current
- 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.
- Trained new staff on current, correct insurance verification procedures.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Established and maintained relationships with insurance providers for productive communications.
- Posted payments to accounts and maintained records.
- Generated reports to track insurance verifications and claim progress.
- Communicated verification and authorization status updates with arbitration,billing, collection, lien department & sites to facilitate decision-making for patient admissions and insurance coverage.
- Chased insurance companies to achieve accurate and timely payments.
- Performed various administrative tasks by filing, copying and faxing documents.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Assisted with medical coding and billing tasks.
- Obtained payments from patients and scanned identification and insurance cards.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Processed medical insurance claims and payments.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Registered and verified patient records before triage with most up-to-date information.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Prepared and processed patient referrals and transfer requests.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Conducted patient intake interviews, recording and documenting relevant information.
- Managed office bookkeeping with insurance billing and patient payments.
- Greeted visitors and initiated triage processes for clients to streamline patient flow.
- Answered phone calls and messages for multiple physicians at the medical facility, scheduling appointments, and handling patient inquiries.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Received and routed laboratory results to correct clinical staff members.
- Placed new supply orders, managed inventory and restocked clerical spaces.
Patient Care Coordinator
Alliance Physical Therapy Partners
02.2013 - Current
- Maintained confidentiality of patient data and condition to safeguard health information.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Acted as main point of contact for patients, doctors, and hospital staff by closely reviewing medical charts and maintaining high levels of communication.
- Worked closely with patients to deliver excellent and direct individualized patient care.
- Delivered excellent patient experiences and direct care.
- Upheld confidentiality requirements and regulatory compliance guidelines.
- Worked with patients to schedule tests and procedures.
- Assisted patients with completing necessary paperwork and forms to provide healthcare facilities with essential information to bill for services.
- Monitored patient health records for accuracy to meet compliance with healthcare guidelines.
- Provided support and guidance to patients and families to navigate healthcare systems.
- Assisted patients with coordinating long-term care for chronic conditions to support and manage illnesses.
- Coordinated transportation to get patients to and from medical appointments.
- Supported patients with necessary care during end-of-life phases by coordinating hospice care.
- Answered incoming calls, scheduled appointments and filed medical records.
- Verified patient insurance eligibility and entered patient information into system.
- Greeted and assisted patients with check-in procedures.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Trained new staff on filing, phone etiquette and other office duties.
- Provided excellent customer service to patients and medical staff.
- Compiled and maintained patient medical records to keep information complete and up-to-date.
- Facilitated communication between patients and various departments and staff.
- Followed document protocols to safeguard confidentiality of patient records.
- Organized patient records and database to facilitate information storage and retrieval.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Responded to inquiries by directing calls to appropriate personnel.
- Resolved customer complaints using established follow-up procedures.
- Engaged with patients to provide critical information.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Delivered support to medical staff in completion of patient paperwork.
- Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
- Recommended service improvements to minimize recurring patient issues and complaints.
Data Entry Specialist
Alliance Physical Therapy Partners
06.2005 - Current
- Completed data entry tasks with accuracy and efficiency.
- Compiled data and reviewed information for accuracy prior to input.
- Reviewed and updated client correspondence files and database information to maintain accurate records.
- Maintained files, records and chronologies of entry activities.
- Identified data entry errors and reported to necessary departments.
- Corrected data entry errors to prevent duplication or data degradation.
- Managed workflow scheduling, data entry, and accuracy verification for large data projects.
- Sent completed entries for evaluation and final approval.
- Scanned documents and saved in database to keep records of essential organizational information.
- Managed documents by organizing forms, making photocopies, filing records, preparing correspondence, and creating reports.
- Compiled and verified accuracy and sorting information to prepare source data for computer entry.
- Evaluated source documents to locate needed information.
- Searched, extracted and interpreted information to determine correct input procedure.
- Produced monthly reports with advanced Excel spreadsheet functions.
- Corrected data entry errors to prevent later issues such as duplication or data degradation.
- Coded and processed applications into required electronic formats.
- Built and maintained tracking databases for variety of measuring aspects.
- Communicated with supervisors and colleagues to process data quickly and resolve discrepancies.
- Verified accuracy of data entered into system to produce error-free reports.
- Organized, sorted, and checked input data against original documents.
- Entered data into various computer systems accurately using Microsoft Office Suite.
- Resolved discrepancies in data entry activities for accurate, complete jobs.
Billing Coordinator
Alliance Physical Therapy Partners
06.2003 - Current
- Updated documentation, reports and spreadsheets with financial information.
- Answered telephone and in person inquiries with friendly demeanor and full knowledge of billing department processes.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Entered details into accounts and tracked payments.
- Set up effective invoicing procedures alongside accounting staff and contracts department to maximize effectiveness of billing operations.
- Referred past due payments to collections department.
- Maintained detailed understanding of insurance plans and company requirements.
- Completed appeals of denied claims on patient bills.
- Organized accounts for financial audits and supported audit process.
- Researched and resolved billing discrepancies to enable accurate billing.
- Monitored customer accounts to identify and rectify billing issues.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Processed and verified invoices to secure accuracy of billing information.
- Prepared and submitted monthly billing reports to management for financial overview.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Generated monthly invoices for customers in multiple formats to provide transparency.
Front Desk Coordinator
Alliance Physical Therapy Partners
02.2000 - Current
- Scheduled appointments in computer system.
- Maintained office supplies by taking inventory and submitted orders for low-stock items.
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Read and responded to emails, answered telephone calls on multi-line phone system and transferred callers.
- Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel.
- Verified patient demographic information, copied documentation and directed to provided information.
- Answered multi-line phone system and transferred callers to appropriate department or staff member.
- Greeted incoming visitors, verified credentials and purpose of visit in order to direct appropriate area or personnel.
- Greeted visitors and customers upon arrival, offered assistance, and answered questions to build rapport and retention.
- Trained all staff on front desk procedures and policies.
- Served as point of contact for clients, fulfilled requests and resolved conflicts within customer service department and forwarded all other inquiries to appropriate department and personnel.
- Coordinated correspondence and scheduling between administration, employees and clients using calendaring software.
- Entered and updated sensitive customer information during check-ins and room changes.
- Checked-in late-arrival guests, collected payments and verified reservation details to maintain customer satisfaction.
- Kept accounts in balance and ran daily reports to verify totals.
- Transcribed phone messages for entire office and relayed messages.
- Used Practice Made Perfect to maintain and update records of internal data.
- Drafted, copied and forwarded documents and paperwork to facilitate office workflow.
- Ran end-of-day reports and batches and notified staff of necessary corrections and resolutions.
- Generated streamlined system of organized patient and client accounts through integrating computer and spreadsheet use.
Education
No Degree - Phlebotomy
Molloy College
Rockville Centre, NY05.2016
Skills
- Referral Coordination
- Scheduling Tests and Procedures
- Patient Eligibility Requirements
- Document Management
- Adaptable and Flexible
- Data Verification
Accomplishments
- Supervised and trained team of 100+ staff members on site and on a global level.
Cooking, Golf, Traveling, Foreign Language
International Travel: Make and plan annual trips to different countries to experience new cultures.
Cooking: Catering and teaching individuals to prepare home cooked meals.
Golf: Enjoy a good day with the family on the course learning from one another.
Foreign Language: I enjoy learning other languages to be able to communicate, read and write as I do with English and Spanish.
Timeline
Insurance Verification Specialist
Health Plus Management Services
10.2015 - Current
Patient Care Coordinator
Alliance Physical Therapy Partners
02.2013 - Current
Data Entry Specialist
Alliance Physical Therapy Partners
06.2005 - Current
Billing Coordinator
Alliance Physical Therapy Partners
06.2003 - Current
Front Desk Coordinator
Alliance Physical Therapy Partners
02.2000 - Current
No Degree - Phlebotomy
Molloy College
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