Ulissha Brown
Orlando
Summary
Insurance verification specialist with a solid foundation in benefits investigation and prior authorizations. Known for efficient communication with providers and payers to resolve discrepancies, ensuring high standards of accuracy and compliance with regulations.
Overview
10
10
years of professional experience
Work History
Insurance Verification Specialist
Conduent
Ocoee
09.2016 - Current
- Initiate, track, and follow up on prior authorizations to prevent interruptions in patient care
- Communicated with insurance carriers and provider offices to resolve authorization and benefits issues, enhancing patient care continuity
- Validated active insurance coverage and confirmed accurate ICD-10 coding to facilitate timely procedures
- Verified CPT codes to identify prior authorization requirements, ensuring compliance with payer guidelines
Education
High School Diploma -
Dr. Phillips High School
Orlando, FL05-2003
Skills
- Insurance verification
- Prior authorizations
- Eligibility determination
- Coverage authorization
- Claim Management
- Medical coding
- Payer relations
- Insurance payers
- Pharmacy Authorization
- HIPAA Compliance
- Data accuracy
- Software proficiency
Timeline
Insurance Verification Specialist
Conduent
09.2016 - Current
High School Diploma -
Dr. Phillips High School