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Skills

  • Business operations
  • Insurance eligibility verification
  • Organization
  • Data entry
  • Interpersonal communication skills
  • Billing delay reduction
  • Handling high-cost procedure authorizations
  • Audit preparation and compliance
  • Knowledge of medical insurance terminology
  • Daily operations oversight

Work Experiences

  • Achieved results earlier than expected timelines.
  • Conducted persistent follow-up.
  • Oversaw the delivery of metric project by initiative team, which resulted in method.
  • Assisted in the development of a training manual for the verification department, which has since been used to onboard over 18 employees.
  • Achieved a 74% reduction in denied claims over one year.
  • Avoided further denials.
  • Analyzed verification processes.
  • Achieved 14 consecutive patient intakes.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Assisted in the development of a training manual.

Summaries

  • Dedicated to learning, growing, and succeeding in Healthcare.
  • Insurance Verification Coordinator with extensive experience assisting 2+ customers per day with benefit and eligibility questions and concerns.
  • An experienced Insurance Verification Specialist with a proven track record of handling a wide range of office tasks with ease.
  • Accelerated authorization approvals.
  • Billing processes and various types of medical benefits are well-understood.
  • Achieved 40% reduction in billing delays.
  • Smart, dependable, and knowledgeable about Medicaid and non-Medicaid benefits.
  • Empathy, dependability, and enthusiasm for customer satisfaction.
  • Within Healthcare, senior Insurance Verification Coordinator and outstanding performer in performance reporting and cross-functional collaboration.
  • Insurance Verification Coordinator with 11 years of successful performance reporting and quality assurance experience.

Accomplishments

  • Resolved a backlog of 18 incomplete verifications within several months, increasing department efficiency by 84%.
  • Collaborated with clinical staff to resolve complex patient insurance situations, reducing patient wait times by 79%.
  • Maintained accurate and up-to-date insurance records across metric patients, ensuring compliance with Medicare, Medicaid, and private insurance guidelines.
  • Processed an average of 11 patient verifications daily, always ensuring timeliness, precision, and compliance with internal policies.
  • Collaborated with team of 2 in the development of standard.
  • Provided training to new employees on insurance verification protocols, reducing the onboarding time by 72%.
  • Attended ongoing training sessions on the latest insurance policies and software, maintaining cutting-edge knowledge of verification protocols.
  • Developed a streamlined protocol for coordinating with multiple insurance providers, reducing discrepancies by 26%.
  • Contributed to resolving 7 outstanding insurance discrepancies within the billing system, resulting in $2 recovered.
  • Trained in HubSpot, utilizing it to enhance accuracy and efficiency in insurance verification processes and reduce errors by 46%.

Affiliations

  • American Society of Professionals in Patient Access (ASPPA)
  • Member of Revenue Cycle Academy
  • Healthcare Leadership Council (HLC)
  • Association for Supply Chain Management (APICS)
  • Certified Professional Coder (CPC) – AAPC Credential
  • Patient Financial Services Association (PFSA)
  • Key Member, program Vendor Relations Group
  • Freemason
  • Association of Information Technology Professionals
  • Health Care Compliance Association (HCCA)

Certifications

  • Medical Billing and Coding Specialist Certification - Brightline
  • Medical Billing Specialist Certification - program
  • Revenue Cycle Administration Certification - system
  • Certified Healthcare Financial Professional (CHFP) - initiative
  • CompTIA A+ Technician
  • Certified Healthcare Administrative Professional (cHAP) - Meridian
  • Certified Healthcare Access Associate (CHAA) process
  • Certified Professional Biller (CPB) - AAPC
  • Project Management Professional (PMP)
  • Certified Business Analysis Professional (CBAP)

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