Stephanie Brooks
Frisco,TX
Summary
Detail-oriented Healthcare Insurance Specialist with 10 years of experience supporting insurance benefits verification, claims-related inquiries, and eligibility review in high-volume environments. Skilled in interpreting insurance plans, researching claim discrepancies, and ensuring HIPAA-compliant documentation aligned with regulatory guidelines. Strong analytical and problem-solving abilities with a consistent focus on accuracy, compliance, and meeting productivity standards in phone-based settings.
Overview
10
10
years of professional experience
Work History
Healthcare Insurance Specialist/ Optician
Walmart
Frisco, TX
02.2016 - Current
- Review and interpret insurance benefits to determine coverage, eligibility, and member financial responsibility
- Verify claim status, authorizations, and medical necessity requirements through direct communication with insurance carriers
- Investigate and resolve complex claim discrepancies, including denials, eligibility conflicts, and processing errors
- Maintain detailed, HIPAA-compliant documentation in accordance with regulatory and company
- Provide guidance and informal mentoring to team members to support workflow accuracy and efficiency
Education
Northwest Louisiana Technical Community College
Shreveport, LASkills
Microsoft Outlook, Word, Excel
Benefits & Coverage Determination
Claims Review & Discrepancy Resolution
Regulatory & Policy Compliance
HIPAA Compliance
Eligibility Verification
Data Entry Accuracy & Documentation
Timeline
Healthcare Insurance Specialist/ Optician
Walmart
02.2016 - Current
Northwest Louisiana Technical Community College