Highly trained professional with a background in verifying insurance benefits/obtaining medical authorizations and creating appropriate patient documentation. An established Insurance Verification/Authorization Specialist known for handling various office tasks with undeniable ease.
Skills
Prior authorization processing
Understanding of medical terms
Accurate and detailed
Knowledgeable of Eclinicalworks or EMR.
Microsoft office such as: word, excel.
Data entry
Works well under pressure
Verifying insurance coverage
Employee timesheet processing
Advanced clerical knowledge
Professional phone etiquette
Work History
07/2014 to Current
Department Manager/Administrative/AuthorizationsRanken Jordan Pediatric Bridge Hospital – Maryland Heights, MO,
Implemented process improvement initiatives within the department.
Established performance goals for employees and provided feedback on methods for reaching those milestones.
Ensured that all employees within the authorization/verification department presented a positive, exemplary image to patients.
Adhered to all safety procedures and company standards and policies.
Built a talented and valuable team of departmental employees through outstanding mentoring, coaching and teaching skills.
Handled all customer relations issues in a gracious manner and in accordance with company policies.
Communicated clear expectations and goals to each team member.
Worked with the management team to implement the proper division of responsibilities.
Coached new employees on administrative procedures, company policies and performance standards.
Patient check in/check out
Scanned physical files into digital records, assigning faxes,medical records.
Maintained a clean reception area, including lounge and associated areas.
Answering calls, scheduling appointments.
Obtaining medical authorizations.
Coordinating care for patients in a workman's compensation and Auto accident related cases.
Assured the timely verification of insurance benefits prior to patient procedures or appointments.
Made contact with insurance carriers to discuss their policies and individual patient benefits.
Accurately inputted all patient and insurance information into the company’s computer system using Eclinical.
Verified and created claim Numbers by communicating with various insurance companies.
Observed strict procedures to protect sensitive patient information, including medical records and payment data.
Maintained a strong knowledge of basic medical terminology to better understand services and procedures.
Input all documents into the records management system.
Assisted senior administrative professionals with daily work tasks.
10/2013 to 02/2014
Administrative Assistant/Authorizations/Insurance VerifierYour Care Clinic – City, STATE,
Patient check in/check out.
Answering calls, scheduling appointments.
Obtaining Medical authorizations.
Verifying Insurance and benefits prior to patients appointment.
Scanning documents,assigning faxes, medical records.
Maintained a clean reception area, including lounge and associated areas.
Greeted incoming patients and pharmaceutical reps in a professional manner and provided friendly, knowledgeable assistance.
Called patients to confirm scheduled appointments a day in advance.
Helped distribute employee notices and mail around the office.
01/2012 to 10/2013
Administrative Assistant/PhlebotomistDCI Biologicals – City, STATE,
Answered and managed incoming and outgoing calls while recording accurate messages.
Assisted administrative team members with completing daily tasks in order to maintain a smooth workflow.
Locating Donor's charts to pursue donation process.
Providing the screening process, which consisted of taking the Donor's vitals, checking the Donor's hematocrit and protein levels through a centrifuge machine.
Inputting data entry by entering new Donor's information into a system called The PDS III, also checked Donor's background through nddr.org.
Performing vein checks to make assure the Donor is suitable for the donation.
Calibrating machines such as, refractometer, dina map (vitals machine).
Drawing plasma using a 16 gauge needle.
Properly storing plasma post donation for lab relocation.
Responsible for payouts to the donor after the donation.
05/2006 to 04/2011
Pharmacy TechnicianEckerds Mail In Pharmacy – City, STATE,
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