Vaniah Campbell
East Orange,NJ
Summary
PROFESSIONAL SUMMARY
Dynamic professional with extensive experience at Care Station Medical Group, excelling in insurance verification and claims processing. Proven ability to manage customer databases while ensuring HIPAA compliance. Adept at collaborating with medical staff to resolve discrepancies, demonstrating strong communication and problem-solving skills in fast-paced environments.
Overview
13
13
years of professional experience
1
1
Certification
Work History
DSP
Jewish Services for the Developmentally Disabled
Livingston, NJ
08.2019 - Current
- Provided assistance to individuals with daily activities such as personal care, meal preparation and medication reminders.
- Collaborated with other staff members to develop individualized service plans for each participant.
- Used approved crisis intervention techniques in emergency situations.
- Monitored client's well-being, safety, and comfort under physician direction.
- Accompanied or transported clients to appointments, errands and social activities.
- Aided with mobility and independence for disabled individuals and continually monitored safety.
Insurance Verification Specialist
Care Station Medical Group
Union, NJ
05.2015 - 08.2019
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Evaluated policies and procedures related to Insurance Verification activities.
- Participated in training sessions on new software programs used for verification purposes.
- Collaborated with internal staff members such as Billing Specialists, Medical Coders to resolve any discrepancies in patients' insurance information.
Medical Receptionist
University Hospital
Newark, NJ
01.2012 - 01.2015
- Answered incoming calls, responding to inquiries from patients and other medical offices.
- Processed referrals for specialist care when requested by physicians or patients.
- Maintained supply inventory for the office area, ordering items as needed and stocking shelves.
- Greeted and checked in patients, updating patient information in the computer system.
- Verified insurance coverage for appointments and collected co-payments as required.
- Prepared charts for new patients, ensuring all necessary forms were completed correctly.
Education
EAST ORANGE CAMPUS HIGH SCHOOL
East Orange, NJ06.2011
Skills
- Insurance verification and data entry
- Customer database management
- Athena systems expertise
- HIPAA compliance
SKILLS
- EMR proficiency
- Medical authorizations
- Claims processing
- Medical terminology
Certification
CPR/FIRST AID /AED /BLS CERTIFICATION
Timeline
DSP
Jewish Services for the Developmentally Disabled
08.2019 - Current
Insurance Verification Specialist
Care Station Medical Group
05.2015 - 08.2019
Medical Receptionist
University Hospital
01.2012 - 01.2015
EAST ORANGE CAMPUS HIGH SCHOOL