Ramona Flores
San Fernando
Summary
Dynamic Insurance Verification Specialist with a proven track record at Medtronic Distribution Corp, adept at ensuring accurate insurance coverage verification and compliance with HIPAA standards. Recognized for meticulous attention to detail and effective collaboration with healthcare providers, enhancing claim processing efficiency and resolving discrepancies swiftly. Proficient in IDX/Centricity and Microsoft Office.
Overview
2026
2026
years of professional experience
Work History
Insurance Verification Specialist/Collections Coordinator
Medtronic Distribution Corp
12.2007 - 02.2026
- Verified insurance coverage and eligibility for medical devices and services for all type of Payors commercial plans
- Managed high-volume inquiries, ensuring timely and accurate responses.
- Maintained comprehensive documentation of verification processes for compliance audits.
- Research rejections and denials documenting related account activities
- Analyzed trends in verification outcomes to identify improvement opportunities.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Trained new staff on current, correct insurance verification procedures.
- Verified insurance coverage and eligibility for medical devices and services.
- Collaborated with healthcare providers to resolve verification discrepancies.
- Updated patient records with accurate, current insurance policy information.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Reduced errors in billing by accurately maintaining patient records with updated insurance information.
- Verified insurance eligibility and benefits for patient procedures and referrals.
- Collaborated with healthcare providers to resolve discrepancies in patient insurance information.
Insurance Verification Specialist
JRE Gilbarter
2001 - 07.2007
- Verified insurance eligibility and benefits for clients, ensuring accurate processing of claims.
- Collaborated with healthcare providers to obtain necessary documentation for insurance verification.
- Utilized electronic health record systems to streamline verification processes and improve data accuracy.
- Trained new staff on insurance verification procedures and best practices, enhancing team efficiency.
- Processed medical insurance claims and payments.
- Analyzed denial trends to identify areas for process improvement and reduce claim rejections.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
Insurance Verification Specialist/Insurance Collector
IPA Hospital List
01.1999 - 02.2000
- Verified insurance eligibility and benefits for patients across multiple payers
- Coordinated with healthcare providers to obtain necessary documentation for claims processing
- Analyzed discrepancies in patient information to ensure accuracy in verification processes
- Trained junior staff on best practices for insurance verification procedures
Education
GED -
Adelante Institute
Panorama City Ca 06-2001
Skills
- Attention to detail
- Patient confidentiality
- Patient data protection
- Experience in insurance coverage assessment
- Knowledge of IDX and Centricity
- Experienced with Word and Excel
- Eligibility assessment
- Data entry proficiency
- Direct patient interaction
- Adept at using software
- Documentation and correspondence
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Insurance Verification Specialist/Collections Coordinator
Medtronic Distribution Corp
12.2007 - 02.2026
Insurance Verification Specialist/Insurance Collector
IPA Hospital List
01.1999 - 02.2000
Insurance Verification Specialist
JRE Gilbarter
2001 - 07.2007
GED -
Adelante Institute