Detail-oriented Insurance Verification Specialist with proven skills in HIPAA compliance, insurance coverage verification, and patient communication. Committed to enhancing patient experiences and streamlining insurance processes for improved healthcare access.
Overview
32
32
years of professional experience
Work History
Insurance Verification Specialist—Remote
HCA Outpatient Surgical Services, Now CBO
Sunrise, FL
04.2021 - Current
Assisted in obtaining pre-authorization for services, ensuring compliance with insurance requirements.
Communicated effectively with patients regarding their insurance benefits and financial responsibilities.
Communicated with insurance providers to resolve discrepancies and clarify coverage details.
Maintained accurate patient records and documentation in electronic health record system.
Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
Updated patient records with accurate, current insurance policy information.
Assisted patients with understanding personalized insurance coverage and benefits.
Verified insurance eligibility and benefits for patients prior to surgical procedures.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Handled self pay accounts, providing patient with GFE
Obtained payments from patients and scanned identification and insurance cards.
Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
Negotiated payment plans on behalf of clients facing financial hardship, helping them access necessary healthcare services without undue burden.
Assisted in training new employees on best practices for efficient insurance verification processes and procedures.
Cashier
Marshalls & HomeGoods
Plantation, FL
07.2020 - 08.2021
Processed high-volume transactions efficiently to ensure customer satisfaction.
Maintained accurate cash drawer, minimizing discrepancies through diligent tracking.
Assisted customers with inquiries, providing product information and resolving issues promptly.
Worked flexible schedule and extra shifts to meet business needs.
Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
Insurance Verification Specialist and Patient Regi
HCA Florida Westside Regional Medical Center
Plantation, FL
05.1994 - 08.2006
Verified patient insurance information to ensure accurate billing and claims processing.
Coordinated with healthcare providers to obtain necessary documentation for insurance approvals.
Reviewed and updated patient records in electronic health record systems for compliance and accuracy.
Communicated with patients regarding their insurance coverage and financial responsibilities effectively.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Complied with HIPAA guidelines and regulations for confidential patient data.
Education
Certificate Medical Coding -
Brighton Colleg
Scottsdale, AZ
High School Diploma -
St Thomas High School
Fort Lauderdale, FL
05.1990
Skills
Attention to detail
Patient confidentiality
HIPAA compliance
Insurance coverage verification
Customer service
Meditech
Advantx
Deductible & co-pay calculation
CPT coding
Outpatient procedures
Excel
Insurance authorizations
Timeline
Insurance Verification Specialist—Remote
HCA Outpatient Surgical Services, Now CBO
04.2021 - Current
Cashier
Marshalls & HomeGoods
07.2020 - 08.2021
Insurance Verification Specialist and Patient Regi
Remote Insurance Verification Specialist III at Orlando Health South Seminole HospitalRemote Insurance Verification Specialist III at Orlando Health South Seminole Hospital