PETRA RIVERA-ALLEN
Dover,PA
Summary
Insurance Verification Specialist with expertise in EMR data entry and authorization tracking. Proven ability to enhance patient experience through accurate insurance verification and effective communication.
Overview
1
1
year of professional experience
Work History
Insurance Verification Specialist
Select Medical Corporation
Camp Hill, Pennsylvania
11.2024 - Current
- Verified patient insurance eligibility and benefits for medical services.
- Monitored updates in insurance policies to inform operational practices.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Entered data in EMR database to record payer, authorization requirements and coverage limitations.
- Interpreted Explanation of Benefits statements from various insurers and communicated relevant information with other departments as needed.
- Conducted follow-ups with insurance companies to expedite verification processes.
- Monitored and tracked the status of pending insurance verifications and authorizations.
- Maintained up-to-date knowledge of insurance policies, including Medicare and Medicaid.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
Customer Service Representative
Abel Personnel AGENCY (E-Z PASS)
Harrisburg, Pennsylvania
02.2024 - 11.2024
- Assisted customers with E-Z PASS account inquiries and technical support.
- Processed customer transactions and resolved billing issues efficiently.
- Provided clear information about toll rates and payment options to users.
- Educated customers on E-Z PASS usage and benefits effectively.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Developed strong customer relationships to encourage repeat business.
- Presented existing and prospective customers with valuable service or product information to aid in decision-making.
Education
Some College (No Degree) - CENTRAL STERILE TECHNICIAN
COMMUNITY COLLEGE BALTIMORE CO
Baltimore, MDSkills
- EMR data entry
- Authorization tracking
- Customer relationship management
- Insurance verification
- Effective communication
- Time management
PETRA RIVERA-ALLEN
- I LIKE TO TO LEARN AND UPDATE MY SKILLS
- I LIKE COOKING DIFFERENT TYPES OF FOOD
- I LIKE SPENDING TIME WITH FAMILY
- I LIKE TO LISTEN TO BOOKS ONLINE
Timeline
Insurance Verification Specialist
Select Medical Corporation
11.2024 - Current
Customer Service Representative
Abel Personnel AGENCY (E-Z PASS)
02.2024 - 11.2024
Some College (No Degree) - CENTRAL STERILE TECHNICIAN
COMMUNITY COLLEGE BALTIMORE CO
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