Wenda Nezamzadeh
Summerville,SC
Summary
Dedicated insurance verification and precertification specialist with over 16 years of experience in healthcare. Known for exceptional attention to detail, compassionate patient interactions, and a commitment to HIPAA compliance. Ready to contribute to team success and enhance patient care.
Overview
1
1
Certification
17
17
years of professional experience
Work History
Insurance verification/Precertification Specialist
Ensemblehp
Bule Ash , OH
08.2009 - Current
- Verified insurance eligibility, coverage levels, and benefit parameters to facilitate timely precertification submissions.
- Communicated with insurance companies to verify coverage and benefits.
- Managed precertification requests for a variety of healthcare services, ensuring compliance with insurance requirements.
- Reviewed patient records to ensure compliance with insurance requirements.
- Maintained updated knowledge of insurance policies and regulatory changes.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
- Communicated with patients with compassion while keeping medical information private.
- Explained eligibility details and affordability options to patients, fostering understanding and support during the precertification process.
Education
High School Diploma -
Beach High School
Savannah, GA08-1974
Skills
- insurance verification
- precertification processing
- insurance eligibility verification
- patient record review
- HIPAA compliance
- healthcare regulations
- data entry accuracy
- problem solving
- attention to detail
- Multitasking
- Remote office availability
- compassionate patient interaction
Certification
- CHAA certified healthcare access associate
- CRCR certified revenue cycle representative
Timeline
Insurance verification/Precertification Specialist
Ensemblehp
08.2009 - Current
High School Diploma -
Beach High School