Porche Lovett
Atlanta,GA
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
13
13
years of professional experience
Work History
Insurance Verification Specialist
Northside Hospital
01.2020 - Current
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Posted payments to accounts and maintained records.
- Communicated verification and authorization status updates with department to facilitate decision-making for patient admissions and insurance coverage.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Established and maintained relationships with insurance providers for productive communications.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Assisted with medical coding and billing tasks.
- Obtained payments from patients and scanned identification and insurance cards.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Updated patient records with accurate, current insurance policy information.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Medical Billing and Collections Specialist
Wellstar Hospital
10.2016 - 12.2019
- Compiled and tracked outstanding balances owed to medical facilities.
- Corrected, completed and processed claims for multiple payer codes.
- Assisted in reconciling deposit and patient collections.
- Logged charges and payments within EPIC.
- Processed billing calls and answered questions from patients and third-party carriers.
- Responded to customer concerns and questions on daily basis.
- Generated monthly billing and posting reports for management review.
- Utilized various software programs to process customer payments.
- Collaborated with customers to resolve disputes.
- Handled account payments and provided information regarding outstanding balances.
- Generated accounts payable reports for management review to aid in financial and business decision making.
- Monitored outstanding invoices and performed collections duties.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Maintained accurate records of customer payments.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Audited and corrected billing and posting documents for accuracy.
- Processed vendor and supplier payments on weekly basis.
Insurance Verification Specialist
OrthoAtlanta
12.2014 - 10.2016
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Updated patient records with accurate, current insurance policy information.
- Processed medical insurance claims and payments.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Trained new staff on current, correct insurance verification procedures.
- Obtained payments from patients and scanned identification and insurance cards.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
Medical Assistant
Gynecology Issues P.C
06.2011 - 12.2014
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Collected and documented patient medical information such as blood pressure and weight.
- Called and faxed pharmacies to submit prescriptions and refills.
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Completed EKGs and other tests based on patient presentation in office.
- Verified patient insurance coverage and collected required co-payments.
- Performed medical records management, including filing, organizing and scanning documents.
Education
Bachelor of Applied Science in Information Technology - Health Information Technology
DeVry University
Downers Grove, IL2020
Associate of Applied Business - Medical Billing And Coding
DeVry University
Downers Grove, IL2016
Certificate - Medical Assisting
Lincoln College
Atlanta, GA2013
Skills
- Coordination and Scheduling
- Medical Terminology
- Medical Billing
- Medicaid Knowledge
- Understanding of Medical Terms
- Coverage and Authorizations
- Eligibility Determination
- Analytical Thinking
- Customer Relationship Management
- Prior Authorization Processing
- Insurance Coverage Verification
- Communication and Interpersonal Skills
- Process Evaluation
- Referral Coordination
- Documentation and Correspondence
- Skilled in EPIC,Cerner
- Data Security and Confidentiality
Timeline
Insurance Verification Specialist
Northside Hospital
01.2020 - Current
Medical Billing and Collections Specialist
Wellstar Hospital
10.2016 - 12.2019
Insurance Verification Specialist
OrthoAtlanta
12.2014 - 10.2016
Medical Assistant
Gynecology Issues P.C
06.2011 - 12.2014
Bachelor of Applied Science in Information Technology - Health Information Technology
DeVry University
Associate of Applied Business - Medical Billing And Coding
DeVry University
Certificate - Medical Assisting
Lincoln College
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