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Pre-Verification Specialist Resume Example

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PRE-VERIFICATION SPECIALIST
Professional Summary

Fantastic attention to detail, collaboration skills and typing ability. Committed to streamlining organizational procedures to optimize office settings. Versatile Administrative professional well-versed in healthcare practices, compliance standards and operations. Excellent problem-solver and clear communicator with positive and upbeat personality.

Skills
  • Excellent computer skills
  • Strategic Planning
  • Organizational skills
  • Documentation
  • Patient contact
  • Insurance coverage verification
  • Prior authorization processing
Work History
Pre-Verification Specialist , 03/2019 to Current
BayCare Clinics, LLP – Manitowoc, WI
  • Completed skilled administrative work to support all office staff and operational requirements.
  • Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
  • Organized paperwork such as charts and reports for office and patient needs.
  • Accurately inputted all patient and insurance information into company's computer system using EPIC.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Review patient cases daily and verified insurance coverage information.
Dental Assistant, 04/2017 to 03/2019
Two Rivers Family Dental – Two Rivers, WI
  • Prepared patient X-rays and images to be reviewed by dentist.
  • Assisted dentists by passing instruments, suctioning intraoral fluids, adding water and mixing materials for fillings and impressions.
  • Helped complete routine and advanced procedures by preparing patients and instruments for expected needs.
  • Assisted dentists, hygienists and other personnel by handing appropriate tools and supplies needed for procedures.
  • Prepared rooms for patient treatment by cleaning and sterilizing tools and equipment.
  • Educated patients on postoperative care, including how to protect dental work and boost healing.
  • Created dental impressions used for diagnostics, opposing models and study casts to make crowns, bridges and other dental prosthetics.
  • Helped dentists restore teeth by applying permanent and temporary fillings and crowns.
  • Supported dentists during procedures to restore teeth, like dental fillings, permanent and temporary crowns..
  • Recorded patients' health histories, documented current symptoms and pulled up records from prior visits for dentists to view and evaluate.
  • Typed patient data into computer system using Dentrix while following privacy laws and maintaining high level of accuracy.
  • Cleaned and sanitized dental tools and equipment, straightened treatment rooms and restocked supplies to prep for next patient and maintain health and safety practices.
Patient Intake Coordinator and Dental Assistant, 10/2010 to 03/2017
Lakeshore Community Healthcare – Manitowoc, WI
  • Used EPIC to schedule appointments.
  • Balanced deposits and credit card payments each day.
  • Explained plans for treatment and payment options.
  • Reviewed daily care slips for doctors.
  • Took copayments and compiled daily financial records.
  • Assisted patients in filling out check-in and payment paperwork.
  • Compiled and reviewed medical charts.
  • Assisted dentists, hygienists and other personnel by handing appropriate tools and supplies needed for procedures.
  • Prepared rooms for patient treatment by cleaning and sterilizing tools and equipment.
  • Educated patients on postoperative care, including how to protect dental work and boost healing.
  • Reached out to insurance carriers to obtain prior authorization for testing and procedures. Specifically Medicaid/Medicare insurance policies.
  • Verified eligibility and compliance with authorization requirements for service providers.
  • Created and maintained spreadsheets detailing all dental procedures, including applicable denials and approvals.
Companion, 05/2009 to 09/2010
HomeCare And Health – Manitowoc, WI
  • Assisted with general household activities, such as cooking, meal preparation and grocery shopping.
  • Delivered assistance to elderly clients in daily activities including bathing, dressing, physical transfers and care for incontinence.
  • Assisted clients by performing laundry, meal preparation and other tasks.
  • Performed basic household chores, including washing floors, washing dishes, vacuuming, garbage disposal and dusting.
  • Assisted disabled clients in any way necessary to facilitate independence and well-being.
  • Worked to improve and enhance patient lives through effective and compassionate care.
  • Helped clients maintain optimal health by overseeing medication administration and all doctor's appointments.
  • Ran errands for customers, including shopping, and picking up other necessities.
Education
High School DiplomaLincoln High School - Manitowoc
Dental Assistant Certification : 10/2009
Penn Foster Career School - Manitowoc
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Resume Overview

Companies Worked For:

  • BayCare Clinics, LLP
  • Two Rivers Family Dental
  • Lakeshore Community Healthcare
  • HomeCare And Health

School Attended

  • Lincoln High School
  • Penn Foster Career School

Job Titles Held:

  • Pre-Verification Specialist
  • Dental Assistant
  • Patient Intake Coordinator and Dental Assistant
  • Companion

Degrees

  • High School Diploma
    Dental Assistant Certification : 10/2009

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