Detail-oriented Insurance Verification Specialist with a proven track record in insurance coverage verification, data entry proficiency, and HIPAA compliance. Committed to enhancing patient communication and streamlining verification processes.
Overview
10
10
years of professional experience
Work History
Insurance Verification Specialist
PARADIGM ORAL HEALTH
03.2021 - Current
Verified patient insurance details to ensure accurate billing and claims processing.
Analyzed insurance plans to determine coverage eligibility and benefits for patients.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Updated patient records with accurate, current insurance policy information.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Practice Administrator
Family Dentistry Of Knoxville
03.2024 - 12.2024
Implemented practice management software to optimize patient records and improve data accessibility.
Led staff training sessions on compliance protocols, enhancing adherence to regulatory requirements.
Developed and maintained operational policies that improved workflow consistency across departments.
Oversaw daily practice operations to guarantee seamless service delivery for patients and providers alike.
INSURANCE AND TREATMENT PLANNING COORDINATOR
Madigan Periodontics and Implant Dentistry
03.2018 - 03.2021
Developed treatment plans in collaboration with dental teams to enhance patient care delivery.
Led training sessions for new staff on office procedures and software systems to ensure operational consistency.
Streamlined verification processes, reducing turnaround time for insurance approvals.
Communicated effectively with insurance representatives to resolve discrepancies in coverage information.
Led initiatives to enhance data accuracy within the insurance verification database system.
Insurance Verification Specialist
Chesney Dentistry
09.2016 - 03.2018
Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
Assisted patients with understanding personalized insurance coverage and benefits.
Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.