Vermiracle Mckinnon
Jacksonville,FL
Summary
Dedicated Insurance Verification specialist with expertise in maintaining patient confidentiality and managing private policy benefits. Highly skilled in customer service and claims processing, ensuring smooth operations. Seeking a growth-oriented company for a long-term role.
Overview
7
7
years of professional experience
Work History
Customer Service Representative
Community First Credit Union Of Florida
Jacksonville, FL
01.2024 - Current
- Provided excellent customer service to resolve customer complaints in a timely manner.
- Developed strong relationships with customers by providing personalized assistance and support.
- Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
- Remained calm and professional in stressful circumstances, and effectively diffused tense situations.
Insurance Verification Specialist
Navy Federal Credit Union
Jacksonville , FL
02.2022 - 01.2024
- Researched third party payer guidelines related to prior authorizations, coding and billing processes.
- Responded promptly to customer inquiries regarding their benefits and eligibility status.
- Generated reports detailing trends in denied claims for use by management team.
- Accessed third-party insurance databases to identify coverage of benefits.
Claims Representative
Operation Saving Our Children
Florida, Jacksonville
06.2020 - 01.2022
- Ensured timely submission of required documentation from claimants prior to approval of payment.
- Handled customer inquiries regarding insurance policy coverage details and payment status updates.
- Investigated facts, confirmed coverage and liability, negotiated settlements, and determined payments for claims.
- Educated customers on their rights under state and federal regulations governing insurance policies.
Quality Assurance Intern
World of joy group Home
Jacksonville, Florida
02.2018 - 06.2020
- Provided timely crisis intervention support for clients confronting emergency situations
- Verified patient eligibility for insurance coverage by proactively reaching out to insurance carriers and securing the vital authorization numbers.
- Maintained up-to-date case records with case activity status.
- Advocated for clients by obtaining information regarding treatment options and clinical status.
- Arranged payment plans with patients to settle deductibles and out-of-pocket expenses.
Education
Florida State College At Jacksonville
Jacksonville, FL06-2024
Skills
- Policy understanding
- Insurance Claims Review
- Documentation research
- Conflict Resolution
- Claims Investigation
- Customer Service
- Complaint resolution
- Call documentation skills
- Client Interviews
- Data Collection
- inbound and outbound calls
- Account updating
Timeline
Customer Service Representative
Community First Credit Union Of Florida
01.2024 - Current
Insurance Verification Specialist
Navy Federal Credit Union
02.2022 - 01.2024
Claims Representative
Operation Saving Our Children
06.2020 - 01.2022
Quality Assurance Intern
World of joy group Home
02.2018 - 06.2020
Florida State College At Jacksonville
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