Dedicated professional with demonstrated strengths in customer service, time management and trend tracking. Good at troubleshooting problems and building successful solutions. Excellent verbal and written communicator with strong background cultivating positive relationships and exceeding goals. Experienced with verification processes, ensuring data accuracy and compliance. Utilizes analytical skills and attention to detail to maintain high standards. Strong understanding of verification protocols and team collaboration.
Overview
10
10
years of professional experience
Work History
Benefit Verification Representative
Continuum Global Solutions
10.2023 - Current
Evaluated unique patient identifiers for clinical purposes, billing and collections process and compliance with state and federal regulatory requirements
Verified and obtained required referral, authorization, or pre-certification prior to services being provided
Communicated with patients, physicians and internal hospital personnel regarding insurance benefits information
Estimated self-pay portions after calculation of deductibles, co-pays and non-covered services
Reviewed insurance policy documents to verify coverage and eligibility
Collected patient copays and balances
Corresponded with insurance companies to process claims of patients
Maintained privacy and confidentiality of patients in compliance with policies and regulations
Received, answered, and responded to telephone calls
Verified insurance benefits and obtained pre-authorizations before any medical procedures were performed.
Exceeded client expectations by consistently delivering high-quality verification results in a timely manner, contributing to the company''s strong reputation for excellence.
Conducted comprehensive research on various industries to stay current on trends impacting verification requirements or best practices.
Streamlined the verification process with efficient organization and time management skills.
Verified client information by analyzing existing evidence on file.
Checked documentation for accuracy and validity on updated systems.
Generated reports to track insurance verifications and claim progress.
Modified, updated and processed existing policies.
Coordinated with contracting department to resolve payer issues.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Achieved insurance pre-authorizations to enable timely patient procedures.
Cashier
Lowes
02.2023 - 10.2023
Gave customers full attention and attended to their needs
Engaged customers in pleasant conversation while completing cash register transactions
Prevented losses by watching for suspicious behavior
Totaled purchases and accepted payments using touch-screen register system
Maintained neat drawer with correct amount of change to meet customer needs
Kept customers happy by quickly processing payments and bagging purchases
Cashier
The Home Depot
11.2021 - 08.2022
Monitored customer transactions for potential theft or fraud, reporting any suspicious activity to management
Gave customers full attention and attended to their needs
Guided customers through age-restricted item purchases by verifying identification
Maintained cleanliness of self-checkout area, including wiping down machines and sweeping floors
Restocked bags, receipt paper, and other supplies at self-checkout stations as needed
Resolved issues related to product scanning, payment methods, and coupon redemption
Assisted customers with self-checkout process, ensuring smooth and efficient transaction
Engaged customers in pleasant conversation while completing cash register transactions
Kept customers happy by quickly processing payments and bagging purchases
Totaled purchases and accepted payments using touch-screen register system
Maintained neat drawer with correct amount of change to meet customer needs
Cashier/Customer Service Representative
Kroger
12.2014 - 03.2017
Enhanced customer satisfaction with fast, knowledgeable service
Handled customer inquiries, payments and service requests
Resolved customers' service or billing complaints by exchanging merchandise, refunding money or adjusting bills
Kept clean, organized and well-stocked checkout areas
Balanced cash drawer at beginning and end of each shift
Gave customers full attention and attended to their needs
Provided information to customers on products or services
Fixed checkout merchandise displays with continuous resets during down periods
Maintained neat drawer with correct amount of change to meet customer needs
Kept customers happy by quickly processing payments and bagging purchases
Totaled purchases and accepted payments using touch-screen register system
Education
Associate - Medical Administrative Assistant
Ultimate Medical Academy
09.2019
High School Diploma -
Houston Can Academy
Houston, Texas
06.2012
Skills
Multitasking capabilities
Empathy and understanding
Point of sale system
Effective communication
Active listening
Attention to detail
Data entry proficiency
Telephone etiquette
Data Analysis
Benefits Verification
Coverage and Authorizations
Claims Processing
Timeline
Benefit Verification Representative
Continuum Global Solutions
10.2023 - Current
Cashier
Lowes
02.2023 - 10.2023
Cashier
The Home Depot
11.2021 - 08.2022
Cashier/Customer Service Representative
Kroger
12.2014 - 03.2017
High School Diploma -
Houston Can Academy
Associate - Medical Administrative Assistant
Ultimate Medical Academy
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