Natira Richardson
Houston,TX
Summary
Personable Insurance Verifier looking to tackle new responsibilities in the medical insurance verification field. Organized and efficient with over 6 years of experience. Adept at verifying patient insurance coverage information and validating patient billing information.
Overview
6
6
years of professional experience
Work History
Sr. Insurance Verifier
Houston Methodist Hospital
02.2022 - Current
- Collaborated with healthcare providers to ensure accurate and timely submission of authorization requests, resulting in reduced claim denials.
- Consistently provided prompt follow-up on pending authorizations, ensuring minimal delay in receiving essential medical services.
- Streamlined authorization process for faster response times and increased efficiency.
- Improved patient satisfaction by efficiently handling authorization requests and promptly addressing inquiries.
- Demonstrated adaptability by quickly learning new systems and processes as they were introduced within the organization.
- Verified by telephone or internet eligibility and benefits for third-party payer insurance from information provided on patient registration form.
- Offered patients and physician offices estimated costs for services documentation.
- Communicated required insurance information in person and by telephone to patients, physician offices, third party payers and agencies.
- Worked closely with clinical teams to gather needed information in a timely manner, supporting optimal patient care delivery.
- Reviewed 200 patient cases and insurance coverage information per week.
Authorization Specialist
Healthsource Medical Response
01.2021 - 02.2022
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
- Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
- Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
- Demonstrated adaptability with changing insurance requirements, maintaining up-to-date knowledge through continuous education efforts.
- Prevented delays in care delivery by proactively identifying potential issues during the pre-authorization process and seeking clarification from providers when needed.
- Prepared reports of findings and recommendations.
- Communicated with people from various cultures and backgrounds on application process.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
Medical Records Specialist
Medical Plus Supplies
05.2018 - 01.2021
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Uploaded physician progress notes, history, and physicals into electronic medical records.
- Maintained patient records in compliance with security regulations.
- Assisted healthcare providers with timely access to patient information, facilitating optimal treatment decisions.
- Followed up with patients about medical and healthcare processes.
- Maintained patient confidence by keeping patient records information confidential.
- Managed the secure transfer of medical records between facilities, ensuring proper adherence to privacy regulations and patient confidentiality guidelines.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
- Sorted and distributed incoming and outgoing medical records.
- Verified accuracy of patient information in medical records.
- Assisted in training new staff on medical record processing and filing procedures.
- Scanned and uploaded medical records into electronic medical records system.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Printed and photocopied documents to provide patients with copies of medical records.
- Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.
- Scanned medical records in digital format for easy retrieval and accessibility.
- Supported medical staff by providing organized and accurate medical records.
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
- Processed medical records requests from outside providers according to facility, state, and federal law.
Education
Certificate - Medical Billing And Coding
The College of Health Care Professions
Houston05.2018
High School Diploma -
Evan E. Worthing Senior High School
Houston05.1998
Skills
- Customer service experience
- HIPAA Compliance
- Insurance Verification
- Follow-up skills
- Data Entry Software
- Epic Systems
- Patient Health Information Access
- Medical Records Verification
- Insurance Authorizations
- Data Entry
- Documentation and Recordkeeping
- Adaptable and Flexible
Timeline
Sr. Insurance Verifier
Houston Methodist Hospital
02.2022 - Current
Authorization Specialist
Healthsource Medical Response
01.2021 - 02.2022
Medical Records Specialist
Medical Plus Supplies
05.2018 - 01.2021
Certificate - Medical Billing And Coding
The College of Health Care Professions
High School Diploma -
Evan E. Worthing Senior High School
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