Teresa Beasley

• Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
• Reduced errors in billing by accurately maintaining patient records with updated insurance information.
• Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
• Streamlined workflow for medical providers by obtaining necessary referrals and authorizations for services.
• Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
• Expedited patient registration process by efficiently validating eligibility for various insurance plans.
• Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
• Assisted in training new employees on best practices for efficient insurance verification processes and procedures.
• Minimized delays in treatment scheduling by promptly identifying potential coverage issues and working proactively towards their resolution.
• Calculated cost for private pay patients having procedures not covered by insurance
• Negotiated payment plans on behalf of clients facing financial hardship, helping them access necessary healthcare services without undue burden.
• Complied with HIPAA guidelines and regulations for confidential patient data.
• Assisted patients with understanding personalized insurance coverage and benefits.
• Assured timely verification of insurance benefits prior to patient procedures or appointments.
• Made contact with insurance carriers to discuss policies and individual patient benefits.
• Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
• Maintained strong knowledge of basic medical terminology to better understand services and procedures.
• Achieved insurance pre-authorizations to enable timely patient procedures.
• Updated patient records with accurate, current insurance policy information.
• Trained new staff on current, correct insurance verification procedures.
• Answered telephone calls to offer office information, answer questions, and direct calls to staff.
• Communicated verification and authorization status updates with BO manager and physician office to facilitate decision-making for patient admissions and insurance coverage.
• Performed various administrative tasks by filing, copying and faxing documents.
• Obtained payments from patients and scanned identification and insurance cards.
• Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
• Registered and verified patient records before triage with most up-to-date information.
• Answered phone calls and messages for surgery center, admitted patients and collected copays or any monies due.

Assisted customers with health insurance questions and benefits plan information.

Assisted in locating physicians and facilities for patients that best supported their current needs. Explained customer benefits and the copay or cost they would be responsible for. Assisted customers with calling hospitals, doctors offices and pharmacies in regards to coverage benefits, bills received or non covered RX or medical procedures.

Worked a very fast paced call center verifying insurance coverage to customers and providers i.e, hospitals, physicians office and other surgical facilities.