Insurance Analyst resume example

Ensures compliance with federal regulations, HIPPA and insurance requirements.

Maintain patient records and confidentiality

Ensures claims are coded correctly and billed within a timely fashion

Effectively train all new staff, as well as over-seas (India Based) staff on Revenue Cycle software, Billing, insurance- verification, follow-up.

Identify development needs through employee evaluation and upper management consultation.

Helping department managers identify and correct training issues through individual or group training.

Act as liaison between upper management and hourly employees

Run reports for late charges and DRG changes.

Knowledge of insurance guidelines, with an emphasis in Medicare/Medicare HMO

Ensured compliance with federal regulations, HIPPA and insurance requirements

Identified opportunities to increase patient satisfaction through the use of excellent communication skills

Effectively trained new staff on Revenue Cycle software, payment posting, insurance verification and follow-up protocol and practices

Acted as liaison between patient and insurance companies as well as between staff and management

Obtained Medicare/Medicaid Authorizations for Outpatient Procedures

Answered inbound calls

Scheduled and Registered patients for outpatient/inpatient procedures

• Provided telephone, online and face-to-face customer service/support within high-volume call centers (handling an average of 95 calls/internet inquiries daily) Duties Accretive Health: Ensures compliance with federal regulations, HIPPA and insurance requirements.
• Maintain patient records and confidentiality Ensures claims are coded correctly and billed within a timely fashion Effectively train all new staff, as well as over-seas (India Based) staff on Revenue Cycle software, Billing, insurance- verification, follow-up.
• Identify development needs through employee evaluation and upper management consultation.
• Helping department managers identify and correct training issues through individual or group training.
• Act as liaison between upper management and hourly employees Run reports for late charges and DRG changes.
• Knowledge of insurance guidelines, with an emphasis in Medicare/Medicare HMO Northshore University Healthcare Ensured compliance with federal regulations, HIPPA and insurance requirements Identified opportunities to increase patient satisfaction through the use of excellent communication skills Effectively trained new staff on Revenue Cycle software, payment posting, insurance verification and follow-up protocol and practices Acted as liaison between patient and insurance companies as well as between staff and management Obtained Medicare/Medicaid Authorizations for Outpatient Procedures Answered inbound calls Scheduled and Registered patients for outpatient/inpatient procedures HENRY FORD MEDICAL SYSTEMS Provided telephone, online and face-to-face customer service/support within high-volume call center (handling an average of 95 calls/internet inquiries daily) Ensured compliance with federal regulations, HIPPA and insurance requirements Ensured claims were coded correctly and billed within a timely fashion Knowledge of insurance guidelines, especially Medicare/Medicare HMO and Medicaid.