Selina Covarrubias
Port Hueneme,CA
Summary
Results-oriented insurance verification expert with a strong focus on insurance data management and customer support. Known for streamlining authorization processes and improving patient satisfaction through effective communication and collaboration with healthcare providers.
Overview
2
2
Languages
1
1
Certification
2027
2027
years of professional experience
Work History
Insurance Verification Team: Auth Representative
RadNet
Oxnard, CA
01.2025 - Current
- Processed insurance authorizations and verified patient eligibility for services.
- Reviewed and analyzed authorization requests to verify eligibility and minimize delays in patient care.
- Maintained accurate records of authorization statuses in electronic health record systems.
- Communicated effectively with healthcare providers to gather necessary documentation for authorization requests.
- Collaborated with healthcare providers to ensure proper documentation for successful authorizations.
- Coordinated pre-authorization requirements for medical treatments or services, enhancing overall patient experience before appointments.
- Clarified insurance policy details to enhance client understanding.
- Collaborated with team members to improve workflow efficiency and expedite the authorization process.
- Monitored changes in insurance policies to ensure up-to-date knowledge of authorization requirements and processes.
- Educated patients on procedures and follow-up care, fostering trust and understanding.
- Resolved patient concerns promptly, enhancing overall satisfaction with services provided.
- Assisted clients with policy inquiries.
- Provided training support to new staff on insurance protocols and system navigation practices.
- Collaborated with medical staff to ensure accurate patient information and smooth operations.
- Developed strong working relationships with physicians' offices resulting in a smoother flow of required documents when submitting requests.
- Coordinated pre-authorization requirements for medical treatments or services to enhance patient experience prior to appointments.
- Tracked expiring authorizations and initiated renewals to maintain continuity of care for patients.
Insurance Verification Specialist
Palms Imaging Center
Oxnard, CA
02.2020 - 04.2023
- Verified insurance eligibility for patients, ensuring accurate coverage information before services were rendered.
- Verified insurance eligibility for patients, ensuring accurate coverage information before services were rendered.
- Collaborated with healthcare providers to resolve discrepancies in insurance data and patient records.
- Maintained up-to-date knowledge of insurance policies and regulations to ensure compliance with industry standards.
- Trained new staff on verification processes, enhancing team efficiency and reducing errors in submissions.
- Developed streamlined workflows for insurance verification, improving turnaround times for patient approvals.
- Implemented quality control measures for documentation, resulting in increased consistency across verification processes.
- 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.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- 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.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Trained new staff on current, correct insurance verification procedures.
- Assisted in training new employees on best practices for efficient insurance verification processes and procedures.
- Posted payments to accounts and maintained records.
- Negotiated payment plans on behalf of clients facing financial hardship, helping them access necessary healthcare services without undue burden.
- Maintained up-to-date knowledge of insurance policies and changes, aiding in accurate verification.
Barista Shift Supervisor
Coffee Bean & Tea Leaf
Oxnard, CA
2015 - 2021
- Supervised daily operations, ensuring efficient workflow among barista team members.
- Trained new staff on beverage preparation and customer service standards.
- Managed inventory levels, placing orders to maintain stock for peak hours.
- Oversaw cash handling procedures, ensuring accuracy in transactions and end-of-shift reports.
- Resolved customer complaints promptly, improving overall satisfaction and loyalty.
- Coordinated staff schedules to optimize coverage during busy periods and special events.
- Trained new team members on barista skills, cash handling procedures, and company policies for consistent performance across the team.
- Resolved customer complaints professionally, demonstrating empathy while finding solutions in line with company policies.
- Implemented quality control measures to enhance beverage consistency and presentation.
Education
Associate of Science - Pre-Nursing
Ventura College
Ventura, CA01-2018
Associate of Science - Nursing
Ventura College
Ventura, CA05-2027
High School Diploma -
Hueneme High School
Oxnard, CA01-2012
Skills
- Insurance verification
- Insurance data management
- Claims documentation
- Patient communication
- Customer support
- Goal-oriented mindset
Certification
BLS CPR Certification
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Insurance Verification Team: Auth Representative
RadNet
01.2025 - Current
Insurance Verification Specialist
Palms Imaging Center
02.2020 - 04.2023
Barista Shift Supervisor
Coffee Bean & Tea Leaf
2015 - 2021
Associate of Science - Nursing
Ventura College
Associate of Science - Pre-Nursing
Ventura College
High School Diploma -
Hueneme High School