Tara Smith
AbbVie
Conroe,TX
1
Certification
12
years of professional experience
Insurance professional with in-depth experience in verifying insurance coverage and handling patient information to ensure smooth operations. Known for reliability and adaptability in dynamic environments, contributing effectively to team goals. Proficient in utilizing verification systems and maintaining comprehensive records while displaying strong attention to detail and collaborative mindset.
Work History
Insurance Verification Specialist II
2 Years- Conducted comprehensive insurance verifications to ensure accurate patient coverage and eligibility.
- Collaborated with healthcare providers to resolve discrepancies in insurance information.
- Analyzed complex insurance policies to determine benefits and coverage limits for diverse cases.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
Medical Insurance Verification and Billing
4 Years 8 Months- Conducted insurance verification and billing for 17 emergency room hospitals, ensuring compliance and accuracy.
- Processed an average of 250 accounts per day, verifying demographics and routing claims effectively.
- Streamlined follow-up process for unverified or rejected claims, improving resolution rates.
- Engaged in customer service, contacting patients and insurance carriers.
Verification and Billing Specialist
5 Years 4 Months- Collaborated with patients and practices to ensure accurate insurance information collection, enhancing claim submission accuracy.
- Specialized in the authorization process for specific CPT codes (93229 and 93271).
- Collaborated with patients and practices to gather accurate insurance information.
- Utilized PaceArt, Centricity, and related systems to recover missing patient information, streamlining the verification process.
Education
Certificate - Medical Billing and Coding
High School Diploma
Skills
Medicare billing
CPT and ICD-10 coding
Billing issue resolution
Claim resolution
Insurance coverage verification
HIPAA compliance
Patient confidentiality
Certification
Certified Billing and Coding Specialist (CBCS) - National Healthcareer Association (NHA), 2013
Timeline
Insurance Verification Specialist II
AbbVie
06.2024 - 06.2026Read More
Medical Insurance Verification and Billing
Emerus Holdings
07.2019 - 03.2024Read More
Verification and Billing Specialist
Preventice Services
01.2014 - 05.2019Read More
Texas School of Business
Certificate from Medical Billing and Coding
Read More
Spring High School
High School Diploma
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