Meredith Story
LOCKPORT,United States
Summary
11 years' experience in Medical Recycle Management. Computer literate: Word, Excel, Access, database, A+ Certification, Internet, email, familiar with PowerPoint Willing to take on additional responsibilities and challenges Displays excellent time management with high attention to detail Works effectively as a team member Administrative Support/Clerical with 11 years' experience in a medical office Computer literate: Office 2010, Excel, Access, PowerPoint Excellent computer skills - Microsoft Office products Professional known for , using discretion and processing highly confidential information Self-motivated team member, employee with the ability to meet, exceed, achieve deadlines and goals Maintain patient confidentiality in accordance with HIPAA/OSHA regulations
Overview
11
11
years of professional experience
Work History
Verification Specialist
Beacon Health Solutions
Dallas, TX
04.2024 - Current
- Updated patient and insurance data and input changes into company computer system.
- Contacted patients to confirm demographic information and communicate financial responsibilities.
- Implemented process improvements to enhance efficiency and accuracy of insurance verification.
- Entered data in EMR database to record payer, authorization requirements and coverage limitations.
- Developed and maintained professional relationships with insurance representatives.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Managed multiple tasks and priorities in a high-volume, fast-paced environment.
- Responded promptly to inquiries from customers regarding their account status or verification process.
- Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
- Resolved insurance-related issues and discrepancies to prevent claim denials.
- Examined claims, records and procedures to grant approval of coverage.
- Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
- Used computers or specified forms to compile, record and code results or data from interview or survey.
- Contacted patients to arrange payment arrangements for deductible and out-of-pocket liability.
- Used statistical software to analyze data from surveys, old records or case studies.
- Verified patient insurance coverage, benefits, and eligibility for services across multiple insurance platforms.
- Met with supervisor daily to submit completed assignments and discuss progress.
- Analyzed and interpreted insurance coverage policies to determine patient eligibility for services.
- Performed verification of customer accounts and ensured data accuracy.
- Evaluated existing systems used for verifying customer accounts and recommended improvements as needed.
- Collaborated with healthcare providers to communicate insurance coverage and authorization details.
- Retained strong medical terminology understanding in effort to better comprehend procedures.
- Updated patient accounts with insurance verification information to ensure accurate billing.
- Liaised with insurance companies to obtain pre-authorizations for procedures and medications.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Navigated through multiple online systems to obtain documentation.
- Liaised between physician, site of service and billing department to obtain appropriate documentation.
- Educated patients on their insurance benefits and coverage limitations.
- Accessed third-party insurance databases to identify coverage of benefits.
RCM Account Worker's Compensation Representative
Allscripts
Chicago, United States
07.2016 - 02.2023
- Process, prepare, and submit business or government forms, such as submitting applications for coverage to insurance carriers
- Interview clients and take their calls to provide customer service and obtain information on claims
- Enter insurance and claims related information into database systems
- Modify, update, or process existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance
- Notify insurance agent and accounting department of policy cancellation
- Transcribe data to worksheets and enter data into computer for use in preparing documents and adjusting accounts
- Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of changes
- Compare information from application to criteria for policy reinstatement and approve reinstatement when criteria are met
- Review and verify data, such as age, name, address, and principal sum
- Correspond with insured or agent to obtain information or inform them of account status or changes
- Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors
- Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data
- Process and record new insurance policies and claims
- Review insurance policy to determine coverage
- Transmit claims for payment or further investigation
- Post or attach information to claim file
- Calculate amount of claim
- Prepare insurance claim forms or related documents and review them for completeness
- Experience with: Microsoft Office, Medical procedure coding software, Microsoft Internet Explorer, Microsoft Outlook, Spreadsheet software, Web browser software, Desktop computers
Medical Insurance Specialist/Medical Biller
Everest College
Burridge, United States
01.2014 - 05.2015
- Maintain medical records, technical library, or correspondence files
- Attend in-service training to validate or refresh basic professional skills
- Transmit correspondence or medical records by mail, e-mail, or fax
- Complete insurance or other claim forms
- Establishing and Maintaining Interpersonal Relationships
- Documenting/Recording Information
- Organizing, Planning, and Prioritizing Work
- Processing Information
- Communicating with Supervisors, Peers, or Subordinates
- Updating and Using Relevant Knowledge
- Making Decisions and Solving Problems
- Training and Teaching Others
- Evaluating Information to Determine Compliance with Standards
- Monitor Processes, Materials, or Surroundings
- Thinking Creatively
- Analyzing Data or Information
- Interacting With Computers
- Communicating with Persons Outside Organization
- Resolving Conflicts and Negotiating with Others
- Experience with: Microsoft Windows, Microsoft Word, Multi-line telephone systems, Patient electronic medical record EMR software, Microsoft Outlook, Microsoft Office, Microsoft Internet Explorer, Microsoft Excel, Medical procedure coding software, Medical condition coding software, Laser printers, Laptop computers, Email software, Electronic health record EHR software, Desktop computers, Copy machines, Billing software
Education
Vocational Certificate or Credential - Medical Insurance Specialist/Medical Biller
Everest collage
Burridge, IL, United States05.2015
Bachelor of Science - Accounting and Finance
Northern Illinois University
Dekalb, IL06-1998
Skills
- Microsoft Office
- Medical procedure coding software
- Microsoft Internet Explorer
- Microsoft Outlook
- Spreadsheet software
- Web browser software
- Desktop computers
- Patient electronic medical record EMR software
- Microsoft Windows
- Multi-line telephone systems
- Medical condition coding software
- Laser printers
- Laptop computers
- Email software
- Electronic health record EHR software
- Copy machines
- Billing software
- Self-motivated team member
- Ability to meet, exceed, achieve deadlines and goals
- Maintain patient confidentiality in accordance with HIPAA/OSHA regulations
- Professional known for making managerial decisions, using discretion and processing highly confidential information
Timeline
Verification Specialist
Beacon Health Solutions
04.2024 - Current
RCM Account Worker's Compensation Representative
Allscripts
07.2016 - 02.2023
Medical Insurance Specialist/Medical Biller
Everest College
01.2014 - 05.2015
Vocational Certificate or Credential - Medical Insurance Specialist/Medical Biller
Everest collage
Bachelor of Science - Accounting and Finance
Northern Illinois University