Matthew Vigil
Albuquerque,NM
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.
Overview
8
8
years of professional experience
Work History
Insurance Verification Specialist
CHRISTUS St. Vincent
03.2020 - 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.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
- Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
- Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Established and maintained relationships with insurance providers for productive communications.
- Developed strong relationships with insurance representatives, facilitating smooth communication channels for resolving inquiries or disputes.
- Expedited patient registration process by efficiently validating eligibility for various insurance plans.
- Optimized productivity within the department by prioritizing tasks according to urgency and importance levels.
- Reduced errors in billing by accurately maintaining patient records with updated insurance information.
- Coordinated with care teams across various departments to ensure seamless integration of verified coverage information into overall treatment planning.
- Trained new staff on current, correct insurance verification procedures.
- Chased insurance companies to achieve accurate and timely payments.
- Implemented improvements to existing verification processes, increasing accuracy rates while reducing time spent on manual tasks.
- Supported timely claims processing by submitting accurate and complete documentation to insurance companies.
- Posted payments to accounts and maintained records.
- Streamlined workflow for medical providers by obtaining necessary referrals and authorizations for services.
- Generated reports to track insurance verifications and claim progress.
- Obtained payments from patients and scanned identification and insurance cards.
- Registered and verified patient records before triage with most up-to-date information.
- Conducted patient intake interviews, recording and documenting relevant information.
- Processed medical insurance claims and payments.
- Answered phone calls and messages
Central Supply Technician
Christus Health
11.2017 - 01.2020
- Maintained a clean and organized work environment, ensuring easy access to necessary supplies for medical staff.
- Enhanced patient safety by implementing strict sterilization and decontamination procedures for medical equipment.
- Performed preventative maintenance on medical equipment, extending its lifespan while ensuring optimal functionality during patient care procedures.
- Increased efficiency in the central supply department by streamlining inventory management processes.
- Actively participated in interdisciplinary meetings with other healthcare professionals to discuss ways to improve supply chain management within the facility.
- Collaborated with cross-functional teams to optimize the distribution of medical supplies throughout the facility.
- Supported infection control measures by adhering to strict guidelines for handling, storing, and distributing sterile items.
- Improved accessibility to essential supplies by maintaining an up-to-date computerized inventory system.
- Reduced waste and saved resources by conducting regular audits of supplies and promptly addressing discrepancies.
- Conducted thorough inspections of incoming shipments, verifying accuracy and quality of products received.
- Ensured timely delivery of surgical instruments by coordinating closely with surgical staff and prioritizing urgent requests.
- Consistently met or exceeded departmental performance metrics by focusing on accuracy, efficiency, and timeliness in all central supply tasks.
- Contributed to cost reduction initiatives by identifying opportunities for bulk purchasing or negotiating supplier contracts.
Professional Car Detailer
Lexus Of Santa Fe
05.2016 - 09.2017
- Upheld company reputation by consistently delivering exceptional car detailing results meeting client expectations.
- Enhanced customer satisfaction by providing thorough interior and exterior detailing services.
- Demonstrated strong attention to detail while performing thorough inspections before releasing vehicles back to clients.
- Assisted in training new employees on proper car detailing techniques, improving overall staff performance.
- Identified opportunities for process improvements, implementing changes that streamlined workflow and increased efficiency.
- Collaborated with team members to complete large-scale detailing projects within specified deadlines.
- Increased team productivity by effectively delegating tasks to junior detailers based on their skill sets.
Education
High School Diploma -
Santa Fe High School
Santa Fe, NM05.2012
Skills
- Attention to Detail
- Patient confidentiality
- HIPAA Compliance
- Insurance Coverage Verification
- Data entry proficiency
- Eligibility Determination
- Data Entry and Review
- Communication and Interpersonal Skills
- Coverage and Authorizations
- Coordination and Scheduling
- Medicaid knowledge
- Healthcare Industry Knowledge
- Insurance Billing
- Medical Billing
- Electronic Medical Records
- Patient contact
- Prior authorization processing
- Customer Relationship Management
- Skilled in Most insurance portals
- Data Security and Confidentiality
- Medical Terminology
- Understanding of medical terms
- Document Management
- Data Verification
- Patient Communication
- Account Maintenance
- Proficient in Epic
- Documentation and Correspondence
- Accuracy and Precision
- Referral Coordination
- Analytical Thinking
- Patient Rapport
- Meditech
- Follow-Up Procedures
- Radiology Knowledge
- Fraud Detection
- Claims Processing
- Centricity
- Process evaluation
- Policy Interpretation
- Fraud prevention
- Allscripts
- Data review
- Collaborative relationships
- Data Integrity
- Database Management
- Workflow Development
- Customer Database Systems
- Insurance Verification
- Problem-Solving
- CPT Coding
- Organization and Time Management
- Computer Proficiency
- Medical Coding
- Critical Thinking
- Patient Health Information Access
- Administrative Support
- Insurance Authorizations
- Invoice Preparation
- Patient Billing
- Payment Plan Options
- Adaptable and Flexible
- Appointment Setting
- Patient Interviews
- Documentation Review
- Medical Records Verification
- Appointment Scheduling
- Data Entry
- Epic Systems
- Patient Referral
- Clerical Support
- Scheduling Tests and Procedures
- Collaboration and Teamwork
- EHR Software
- Outpatient Procedures
- Flexible Schedule
- Time Management
- Data Entry Software
- Patient Scheduling
- Maintaining Financial Records
- Patient Database Maintenance
- Claim Forms
- Medical Charting
- Database Administration
Timeline
Insurance Verification Specialist
CHRISTUS St. Vincent
03.2020 - Current
Central Supply Technician
Christus Health
11.2017 - 01.2020
Professional Car Detailer
Lexus Of Santa Fe
05.2016 - 09.2017
High School Diploma -
Santa Fe High School
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