SAMANTHA BOUCHER
Amarillo,TX
Summary
I have been a proven Benefit Verification Specialist at CVS & CarepathRX, adept in HIPAA Compliance and fostering strong relationships, enhanced claims processing efficiency by implementing strategic follow-up skills. At Panhandle Bug Killers LLC, honed exceptional communication and multitasking abilities, significantly improving customer satisfaction. Prioritizes accuracy and efficient problem-solving, ensuring adherence to insurance verification and healthcare knowledge.
Overview
5
5
years of professional experience
Work History
Insurance Verification Coordinator
CarepathRX
03.2025 - Current
- Verified client information by analyzing existing evidence on file.
- Posted payments to accounts and maintained records.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Determined appropriateness of payers to protect organization and minimize risk.
- Contributed to a positive work environment by actively participating in team meetings, offering constructive feedback, and assisting colleagues when needed.
- Improved patient satisfaction rates by providing clear explanations of benefits, coverage, and billing procedures.
- Kept informed of changes in insurance regulations and policies, ensuring that all verification procedures remained compliant and up to date.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Benefit Verification Specialist
CVS
02.2024 - 01.2025
- Interpreted complex benefit plans and policies for patients, families, and providers.
- Monitored claim status updates in order to ensure timely resolution of issues.
- Collaborated with healthcare providers on appropriate coding for services rendered.
- Assisted members in determining their best course of action based on individual needs.
- Provided exceptional customer service to verify patient benefits and eligibility requirements.
- Advised staff members regarding insurance changes that may affect reimbursement rates.
- Utilized multiple software programs to process claims, track authorizations, and monitor payments.
- Researched payer websites to validate plan information for accuracy.
- Analyzed insurance coverage and identified discrepancies in benefit information.
- Verified medical necessity criteria for requested services using payer guidelines.
- Explained benefit programs and eligibility requirements to employees.
Pest Control Secretary
Panhandle Bug Killers LLC
10.2022 - 06.2024
- Maintained accurate records of all pest control activities including customer reports and invoices.
- Recorded work done and equipment used to charge clients appropriate service costs.
- Provided customer service by responding promptly when customers had questions or concerns regarding their pest problems.
- Identified common pest infestations and determined the best course of action for removal.
- Recommended treatment and prevention methods for pest problems to clients.
Pest Control Technician
Panhandle Bug Killers LLC
06.2021 - 12.2021
- Developed effective strategies for controlling rodent populations through trapping, baiting, and exclusion methods.
- Conducted follow-up visits to ensure complete elimination of pests.
- Sprayed different chemical solutions, powders and gases in client premises according to pest types.
- Performed regular inspections to identify pest infestations and recommended appropriate treatments.
- Informed clients of various solutions and methods for exterminating pests by using industry knowledge.
- Collected and transported pest control equipment to work sites for easy access to tools.
Mosquito Control Technician
Mosquito Joe
05.2021 - 11.2021
- Familiarity with researching new technologies and products that can be used for pest management.
- Proven track record of developing innovative strategies for controlling mosquito populations.
- Adept at identifying potential breeding sites and eliminating them with appropriate measures.
- Knowledgeable about regulatory guidelines related to pest control operations.
- Demonstrated ability to identify various species of mosquitoes and other pests.
Server
Cheddars Kitchen & scratch
03.2021 - 07.2021
- Provided excellent customer service by anticipating needs and responding promptly to requests.
- Greeted and accommodated guests, building positive experience from first interaction.
- Demonstrated ability to interact with customers in a friendly and professional manner.
- Prioritized multiple tasks in dynamic environment and stayed calm and composed.
- Used good communication skills to reduce guest dissatisfaction.
- Checked in with guests throughout meal service, replenishing drinks and catering to additional requests.
- Memorized menu to help diners make informed meal choices.
- Cleaned and sanitized hands and surfaces to optimize food safety and comply with health department regulations.
Server
Lemongrass Sushi & Wok
07.2020 - 03.2021
- Provided excellent customer service by anticipating needs and responding promptly to requests.
- Greeted and accommodated guests, building positive experience from first interaction.
- Demonstrated ability to interact with customers in a friendly and professional manner.
- Prioritized multiple tasks in dynamic environment and stayed calm and composed.
- Used good communication skills to reduce guest dissatisfaction.
- Memorized menu to help diners make informed meal choices.
- Processed payments and completed register transactions accurately.
- Used focus and memorization skills to keep track of tables and remember orders.
Education
High School Diploma -
Tascosa High School
Amarillo, TX06.2020
Skills
- HIPAA Compliance
- Claims Processing
- Microsoft Office
- Insurance Verification
- Follow-up skills
- Healthcare knowledge
- Relationship Building
- Employee Relations
- Documentation And Reporting
- Teamwork and Collaboration
- Time Management
- Attention to Detail
- Multitasking Abilities
- Excellent Communication
- Self Motivation
- Attention to detail
- Coverage and authorizations
References
- Jennifer, Geppert, Team Supervisor, jmmanx71@gmail.com, (763) 607-7867, Colleague
- Meagan, Harding, Team Leader, meaganlea.pdx@gmail.com, (541) 913-5190, Colleague
Timeline
Insurance Verification Coordinator
CarepathRX
03.2025 - Current
Benefit Verification Specialist
CVS
02.2024 - 01.2025
Pest Control Secretary
Panhandle Bug Killers LLC
10.2022 - 06.2024
Pest Control Technician
Panhandle Bug Killers LLC
06.2021 - 12.2021
Mosquito Control Technician
Mosquito Joe
05.2021 - 11.2021
Server
Cheddars Kitchen & scratch
03.2021 - 07.2021
Server
Lemongrass Sushi & Wok
07.2020 - 03.2021
High School Diploma -
Tascosa High School