Nidhi Patel
Houston,TX
Summary
Friendly Insurance Verification Specialist promoting a background in keeping sensitive patient data confidential while maintaining knowledge of Medicare, Medicaid, Military and private policy benefits. Possessing great relationship building and communication skills. Looking to tackle new challenges with a company that values dynamic skills and a strong work ethic.
Overview
10
10
years of professional experience
Work History
General Manager
Shivay Hotels LLC Dba Crystal Palace Resort
Port Bolivar, Texas
05.2023 - Current
- Managed daily hotel operations ensuring guest satisfaction and smooth service delivery.
- Supervised staff performance and provided training to enhance service quality.
- Developed and implemented operational procedures for efficiency and consistency.
- Coordinated with vendors for supplies, maintenance, and guest services procurement.
- Oversaw budgeting processes to maintain financial health of hotel operations.
- Conducted regular inspections to ensure compliance with safety and cleanliness standards.
- Collaborated with marketing teams to promote hotel services and special events.
- Resolved guest complaints by providing effective solutions in a timely manner.
- Created a positive work environment for staff by providing guidance, support, recognition and motivation.
- Developed strategic plans for increasing occupancy rates and improving overall profitability.
Intake Eligibility Representative
Kabafusion
Cerritos, California
07.2022 - 05.2023
- Conducted comprehensive insurance verification for new and existing patients to determine coverage for home infusion therapy.
- Contacted insurance carriers, either online or by phone, to confirm eligibility, benefits, and the patient's financial responsibility, including copayments, and deductibles.
- Collaborated with healthcare providers to gather necessary patient documentation.
- Reviewed and processed benefit verification requests in a timely manner.
- Adhered to HIPAA regulations when handling confidential patient information.
- Initiated contact with insurance companies as necessary to obtain additional information needed for verification purposes.
- Managed daily workloads while meeting deadlines set by management.
- Maintained accurate records of all verification activities in a timely manner.
- Participated in meetings with upper management on ways to streamline the process of verifying patient eligibility.
Online Notary Agent
Onlinenotary.net
Houston, TX
03.2020 - 04.2023
- Worked as Online Notary Agent who is a person of proven integrity appointed by the State of Texas to serve the public as an impartial witness in taking acknowledgments, administering oaths and affirmations, and performing other acts authorized by law.
- Administered notarizations for various legal documents and agreements.
- Verified identities and ensured eligibility of signers before notarization.
- Maintained accurate records of all notarial acts performed.
- Educated clients about notary services and legal requirements.
- Handled confidential information with discretion and integrity.
Benefits Verification Specialist
Coram Specialty Infusion Services
HOUSTON, Texas
10.2021 - 06.2022
- Verify Insurance coverage for both new and existing patients in order to process prescription orders in a timely manner while demonstrating customer service to patients, healthcare professionals and insurance carriers.
- Provided exceptional customer service to diverse group of clients by answering phone calls, emails and inquires
- Assisted in facilitating communication between the patient, insurance and coworkers from other departments.
- Experience with ICD-10 codes
- Experience with HCPC codes
- Knowledge of how to work on Prior Authorizations
- Identifying electronic prescriptions, clinical information and other documentation.
- Efficiently verified the patient's insurance eligibility and benefits for medical plan and prescription plan
- Efficiently verified medical insurance information along with calculating insurance coverage and contacting insurance carriers to resolve prescription coverage and major medical coverage issues
- Contacts patients and provider for updates on benefits verification information, requests additional information, insurance cards, and explains to the patient his or her financial responsibility such as co-pays, co-insurance, co-deductibles, at time of service
- Monitored data integrity and confidentiality by observing strict regulations and procedures.
- Updated patient and insurance data and input changes into company computer system.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Examined claims, records and procedures to grant approval of coverage.
- Handled billing related activities focused on medical specialties.
- Performed verification of Medicare, Medicaid, military and other commercial insurance coverage.
- Identified important patient and demographic information.
Store Manager
Dharm Deep INC
Tomball, TX
05.2018 - 03.2020
- Help customer for their packing and shipping needs. Responsible for overseeing the daily operations of a store, making sure it runs smoothly and effectively, creating business strategies, developing promotional material and training new staff.
- Delivered excellent customer service and adhered to standard practices to maximize sales and minimize shrinkage.
- Processed daily paperwork, balanced register drawers, produced staffing schedules and prepared deposits.
- Managed inventory tracking and physical inventory counts to minimize loss.
- Balanced sales, reconciled cash and made bank deposits to facilitate opening and closing duties.
- Generated repeat business by responding to customer concerns with friendly and knowledgeable service.
- Answered product questions with up-to-date knowledge of sales and promotions.
- Updated and maintained store signage and displays.
- Trained and mentored associates to teach daily tasks and procedures.
- Coordinated social media and marketing strategies to promote brand awareness and increase sales.
Pharmacy Technician
CVS Pharmacy Inc.
Houston, TX
02.2017 - 04.2018
- Teamed with peers, technicians and pharmacists to prioritize and complete orders.
- Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.
- Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
- Interpreted and processed medication orders under supervision of pharmacist.
- Inspected medication storage locations to monitor drug expiration dates and supply adequate inventory.
- Received and verified daily incoming drug inventories, reported discrepancies and logged items into inventory system.
- Refilled medications, offered insight into over-the-counter products and verified insurance benefits.
- Transmitted claims to insurance companies for payment and reconciled EOBs.
- Prepared prescription transfers to other pharmacies.
- Improved inventory management procedures to reduce overhead, backorders and overstock.
- Verified prescriptions and drug labels, documents and packages.
- Maintained strict patient confidentiality to adhere to HIPAA regulations and avoid data compromises.
- Maintained clean and organized pharmacy shelving and work areas.
- Verified patients' identities at pickup to prevent sale of wrong medications.
- Managed inventories, rotated stock, removed expired or damaged drug products and resolved discrepancies in drug counts.
- Worked with insurance companies to process claims, resolve problems and obtain payments.
Cashier
Cvs Pharmacy Inc.
Houston, TX
11.2015 - 01.2017
- Main duties include ringing up sales, bagging items, requesting price checks, honoring coupons, collecting payment and giving appropriate change.
Education
High School Diploma -
Scarborough High School
Houston, TX05.2015
Certification - Phlebotomy
Oquirrh Mountain Phlebotomy School
Houston, TX03.2020
Certification - Dental Assisting
Fortis Institute
Houston, TX03.2021
Certification - Pharmacy Technician Trainee
Texas State Board of Pharmacy
01.2017
Skills
- Documentation abilities
- Fraud reviews
- Document evaluations
- Active Listening
- Communication
- Computer Skills
- Microsoft Office
- Customer Service
- Interpersonal Skills
- Inventory replenishment
- Sanitation and sterilization
- Medical records maintenance
- Data entry
- Quality control
- Relationship building
- Coordination
- Team management
- Reliable and trustworthy
Timeline
General Manager
Shivay Hotels LLC Dba Crystal Palace Resort
05.2023 - Current
Intake Eligibility Representative
Kabafusion
07.2022 - 05.2023
Benefits Verification Specialist
Coram Specialty Infusion Services
10.2021 - 06.2022
Online Notary Agent
Onlinenotary.net
03.2020 - 04.2023
Store Manager
Dharm Deep INC
05.2018 - 03.2020
Pharmacy Technician
CVS Pharmacy Inc.
02.2017 - 04.2018
Cashier
Cvs Pharmacy Inc.
11.2015 - 01.2017
High School Diploma -
Scarborough High School
Certification - Phlebotomy
Oquirrh Mountain Phlebotomy School
Certification - Dental Assisting
Fortis Institute
Certification - Pharmacy Technician Trainee
Texas State Board of Pharmacy
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