Veronica Rosales Lopez
Grayslake,IL
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
10
10
years of professional experience
Work History
Benefit Verification Specialist
CVS Health
03.2020 - Current
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
- Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email and in-person interactions.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Reviewed patient cases per week and verified insurance coverage information.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Observed strict procedures to protect sensitive patient information, medical records and payment data.
- Verified client information by analyzing existing evidence on file.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Communicated verification and authorization status updates with department to facilitate decision-making for patient admissions and insurance coverage.
- Answered telephone calls to offer office information, answer questions and direct calls to staff.
Benefit Verification Specialist
Bridge Personnel Services
09.2019 - 03.2020
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
- Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email and in-person interactions.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
Auto Biller
Car Outlet Ac LLC
07.2013 - 09.2019
- Executed billing tasks and recorded information in company databases.
- Kept all patient information secure and confidential.
- Followed up with appropriate parties to obtain prompt payments.
- Handled contracts and maximized finance department revenue.
- Explained very technical financial information to applicants in easy to understand language.
- Checked insurance eligibility by making appropriate phone calls.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
- Supervised loan personnel and motivated to maintain customer service and performance standards.
Education
High School Diploma -
Waukegan High School
Waukegan, IL06.2010
Skills
- Data Verification
- Efficient Service
- Document Organization
- Program Enrollments
- HIPAA Compliance
- Prior Authorization Processing
- Insurance Plan Verification
- Bilingual Speaker
- Insurance Terminology
- Medicare Knowledge
Timeline
Benefit Verification Specialist
CVS Health
03.2020 - Current
Benefit Verification Specialist
Bridge Personnel Services
09.2019 - 03.2020
Auto Biller
Car Outlet Ac LLC
07.2013 - 09.2019
High School Diploma -
Waukegan High School
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