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Skills

  • Medical Coding (CPT, ICD-10)
  • Regulatory compliance
  • Handling insurance discrepancies
  • Team leadership and collaboration
  • Ensuring compliance with HIPAA regulations
  • Audit and review of insurance claims
  • Data integrity
  • Proficient in QuickBooks
  • Critical thinking in resolving urgent verifications
  • Data entry and management

Work Experiences

  • Cut down verification times by 71%.
  • Achieved 100% adherence to compliance standards.
  • Contributed to President's Club.
  • Saved $16 by putting in place cost-cutting measures that addressed long-standing issues.
  • Achieved efficient task prioritization.
  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.
  • Achieved results within several months.
  • Achieved 63% insurance verification completion rate.
  • Coordinated with program departments.
  • Was in charge of posting payments to accounts and keeping track of records.

Summaries

  • Consistently improved overall team performance.
  • Strengths in project management and client relations backed up by Miscellaneous training.
  • Consistently improves verification accuracy.
  • Consistent Insurance Verification Clerk.
  • Insurance Verification Clerk with 13 years of successful stakeholder engagement and team leadership experience.
  • Within Miscellaneous, senior Insurance Verification Clerk and outstanding performer in process improvement and team leadership.
  • Conducted audits.
  • Insurance Verification Clerk is a multi-talented Insurance Verification Clerk who is consistently rewarded for planning and operational improvements.
  • Accomplished Insurance Verification Clerk with a strong background in resolving discrepancies and reducing grievances by 85%, ensuring high patient satisfaction.
  • Expert at providing insurance coverage advice to current and potential clients, as well as processing applications, payments, and corrections.

Accomplishments

  • Reduced verification rejection rates by 52% by ensuring thorough adherence to insurance guidelines and coverage requirements.
  • Supported billing teams by ensuring verified insurance details before claims were submitted, improving revenue collection by 17%.
  • Improved operational efficiency by 77% through continuous process refinement and proactive issue resolution.
  • Enhanced the accuracy of insurance verification processes, reducing error rates by 79% within 7 months.
  • Facilitated communication between patients and their insurance companies, successfully resolving 10 coverage disputes in 2018.
  • Worked in collaboration with 2 insurance vendors to update internal guidelines, improving information accuracy and availability.
  • Utilized advanced reporting tools to monitor insurance trends, assisting leadership in proactive decision-making around patient coverage issues.
  • Achieved consistent recognition by management for maintaining a verification accuracy rate above department standards.
  • Worked directly with program to troubleshoot and resolve complex coverage issues, ensuring compliance with regulatory requirements.
  • Trained 14 new hires on insurance verification procedures, reducing onboarding time and increasing department efficiency.

Affiliations

  • Association of Information Technology Professionals
  • Healthcare Financial Management Association (HFMA)
  • Professional Association of Healthcare Office Management (PAHCOM)
  • American Association of Healthcare Administrative Management (AAHAM)
  • Association for Supply Chain Management (APICS)
  • Institute for Healthcare Improvement (IHI) Collaborative
  • National Alliance of Medical Auditing Specialists (NAMAS)
  • Society of Human Resource Management
  • Volunteer Coordinator in Hospital Administration
  • Society of Women Engineers

Certifications

  • National Insurance Producer License by North Carolina
  • Certified Healthcare Financial Professional (CHFP)
  • Certified Coding Associate (CCA) by AHIMA
  • Certified Billing and Coding Specialist (CBCS) by NHA
  • CompTIA Network+
  • Certified Phlebotomist Technician (CPT) by National Phlebotomy Association
  • Certification in Health Insurance Portability and Accountability Act (HIPAA)
  • First Aid/CPR Certified
  • National Association of Health Data Organizations - Medical Billing and Coding Certification
  • SHRM Certified Professional (SHRM-CP)

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