Hi, I’m
Veronica Flor
Clinton,MO
Summary
- Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
- Excel in communication, empathy, and problem-solving to foster trust and support among clients. Expertise in efficient task completion. Advocates positive relationships between employees, employers and third party companies.
- Results-oriented individual with a passion for continuous learning and innovation. Impeccable communicator possessing ethical decision-making abilities. Ready to contribute to a dynamic team and make a positive impact.
Overview
6
years of professional experience
1
Certification
Work History
TencodeFrisco, TX
Beneficiary support counselor
03.2021 - 11.2023
Job overview
- Ability to provide guidance, support, and counseling to beneficiaries facing various challenges
- Resolved employee issues related to benefits, serving as a liaison between employees and insurance providers.
- Skill to actively listen to beneficiaries' concerns and provide appropriate responses while demonstrating empathy
- Ability to identify problems, analyze situations, and develop effective solutions
- Advocating for beneficiaries' rights and needs to ensure they receive appropriate services and support
- Experience in managing beneficiary cases
- Checked accuracy and completeness of benefits applications and documents.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Assisted in the completion of applications, forms and other documents related to beneficiary services.
- Collaborated with internal and external departments to ensure proper resolution of cases and timely delivery of services.
- Maintained a high level of confidentiality when dealing with sensitive information.
- Main point of contact for beneficiaries, proving information on policies, procedures, regulations and services.
- Understanding and respecting cultural differences to provide inclusive and sensitive support
Golden Valley Memorial HospitalClinton, MO
Registration and Administration
12.2017 - 12.2020
Job overview
- Conducted periodic reviews of operational expenses against budget allocations.
- Reviewed and monitored financial transactions to ensure accuracy and compliance with regulations.
- Created and updated financial reports on frequent basis to present information to leadership teams.
- Monitored accounts receivable, payable activities to ensure timely payments, collections.
- Analyzed financial data to identify trends, risks and opportunities for cost savings.
- Communicated with clients to address and resolve billing or payment disputes.
- Verified insurance coverage and eligibility for services using computer software.
- Completed relevant insurance and other claim forms.
- Collaborated with healthcare providers to communicate insurance coverage and authorization details.
- Maintained up-to-date knowledge of insurance policies, including Medicare and Medicaid.
- Coordinated with the billing department to ensure correct insurance information is applied to claims.
- Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
- Interviewed patients to complete case histories and intake forms.
- Accessed third-party insurance databases to identify coverage of benefits.
- Identified important patient and demographic information.
- Utilized electronic medical records (EMR) systems for documenting verification processes.
- Updated patient accounts with insurance verification information to ensure accurate billing.
- Received, analyzed and responded to incoming calls from patients and providers regarding insurance issues.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
Education
Clinton Technical Nursing Program Clinton, MO
LPN from Practical Nursing
11-2020
Academy of Aesthetic ArtsShawnee, KS
Certified Esthetician from Esthetics
05-2012
Blue Valley North High SchoolOverland Park, KS
Diploma
05.2009
University Overview
Graduated on honor role with diploma then attended2 years of college/nursing school
Skills
- Honest
- Communication Skills
- Patient Care
- Time management
- Familiar with Salesforce, QuickBooks, Epic, Meditech and POS
- Medical terminology/medical records
- Conflict management
- Employee benefits verification
- Interpersonal skills
- Multitasking
- Attention to detail
- Fast learner
- Organizational skills
- Data entry
- Teamwork
- Computer skills
- Customer service
- Good with conflict/resolution
- Experienced Microsoft Excel, Office, Word
- Experience in assisting with community resource navigation and outreach programming
- Client advocacy
- Claims processing and liaison
- Office administration
- Case management and documentation
- Collaborative relationships
- HIPAA compliance
- Multitasking and prioritization
- Professionalism
- Accountability
- Experience with remote work
Certification
- Driver's License
- LPN2019 to Present
- Certified Employee Benefit Specialist April2021 to Present
Additional Information
- Phone number:469-247-9356
- Email: vbeee717@gmail.com
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