Rose Nicholson
Dixmoor,IL
Summary
Accomplished Insurance Specialist with a proven track record at Campbell Health Solutions Inc, enhancing customer satisfaction and streamlining policy management. Skilled in documentation and policy analysis, adept at resolving customer complaints, and proficient in Epic. Demonstrated ability to improve operational efficiency and maintain compliance with HIPAA regulations. 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. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
27
27
years of professional experience
Work History
Insurance Specialist
Campbell Health Solutions Inc
01.2023 - 05.2023
- Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.
- Processed eligibility and benefits verification and authorization requests.
- Followed up on denials, late payments, extensions and other special circumstances.
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Streamlined policy management by regularly updating client information and tracking policy changes.
Insurance Verification Specialist
Huron Consultants
01.2022 - 04.2022
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- 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.
- Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
Insurance Verification Specialist
University Of Illinois At Chicago
04.2015 - 10.2020
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Reduced errors in billing by accurately maintaining patient records with updated insurance information.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
Insurance Verifier
St. James Hospital
02.2008 - 04.2014
- Streamlined the verification process with meticulous attention to detail, ensuring accurate data entry and documentation.
- Enhanced client satisfaction by accurately verifying insurance coverage and processing claims in a timely manner.
- Assisted clients with understanding their insurance policies, benefits, and limitations to promote informed decision-making regarding healthcare services.
- Improved team efficiency by providing training and guidance to new employees on insurance verification processes.
- Ensured timely referrals for specialty care or diagnostic tests by verifying coverage and obtaining necessary preauthorizations.
- Managed high-volume caseloads efficiently while maintaining strict deadlines for completing verifications and processing claims.
- Acquired billing information by worker's compensation accounts and MVA.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Updated patient records with accurate, current insurance policy information.
Supervisor, Business Associate, Scheduler
Christ Hospital
Oak Lawn, IL
1996.Mar - 2015.Apr
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Worked well in a team setting, providing support and guidance.
- Managed time efficiently in order to complete all tasks within deadlines.
- Adaptable and proficient in learning new concepts quickly and efficiently.
Education
High School Diploma -
Thornridge High School
Dolton, ILAssociate of Science - Word Processing
Chicago College of Commerce
Chicago, ILNo Degree - Business
South Suburban College of Cook County
South Holland, ILHealthcare Business Administration
Indiana Tech
Ft Wayne, INSkills
- Documentation skills
- Policy analysis
- Documentation abilities
- Customer Service
- Policy Knowledge
- Health insurance
- Insurance Coverage Verification
- Customer Complaint Resolution
- Data Entry
- Billing Inquiries
- Insurance Eligibility
- Epic
- Cerner
- Patient Admission
- Benefits Verifications
- Customer Referrals
Timeline
Insurance Specialist
Campbell Health Solutions Inc
01.2023 - 05.2023
Insurance Verification Specialist
Huron Consultants
01.2022 - 04.2022
Insurance Verification Specialist
University Of Illinois At Chicago
04.2015 - 10.2020
Insurance Verifier
St. James Hospital
02.2008 - 04.2014
Supervisor, Business Associate, Scheduler
Christ Hospital
1996.Mar - 2015.Apr
High School Diploma -
Thornridge High School
Associate of Science - Word Processing
Chicago College of Commerce
No Degree - Business
South Suburban College of Cook County
Healthcare Business Administration
Indiana Tech
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