Shelley Bowers
Professional Data Managment
Stantonsburg,NC
5
years of professional experience
Detail-oriented Insurance Verification Specialist experienced in verifying eligibility, benefits, and authorizations while ensuring HIPAA compliance and accurate billing. Achieved timely verification and support for patient care through meticulous data entry, document review, and effective payer communication. Committed to maintaining accuracy and confidentiality throughout verification processes.
Work History
Insurance Verification Specialist
3 Years 7 Months- Verified patient insurance eligibility, benefits, and coverage details for accurate billing support.
- Reviewed referral requirements and pre-certification status to support timely service approval.
- Entered insurance data into practice systems with strong attention to accuracy and consistency.
- Interpreted payer policies to confirm deductibles, copays, and benefit limitations.
- Followed up on pending verifications to maintain clear account status and workflow continuity.
- Maintained confidential patient information while supporting compliance with insurance documentation standards.
- 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.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
Sandwich Artist
1 Year 2 Months- Prepared custom sandwiches and salads following ingredient and portion standards
- Operated POS system to process orders, payments, and customer requests accurately
- Maintained food safety standards by monitoring freshness, temperatures, and sanitation procedures
- Restocked ingredients, bread, and supplies to support continuous service during rush periods
Education
High School Diploma
Skills
Coverage verification
Eligibility determination
Authorization processing
Authorization management
Electronic medical records
Data entry
Data verification
Coverage authorizations
Data security
Document management
HIPAA compliance
Confidentiality management
Accuracy and precision
Communication and interpersonal skills
Timeline
Insurance Verification Specialist
Professional Data Managment
03.2023 - 10.2026Read More
Sandwich Artist
Kenly 95 Petro
01.2022 - 03.2023Read More
Sturgis Brown High School
High School Diploma
Read More