Responsible medical verification specialist proficient in determining benefits and eligibility with 8 years experience. Passionate and motivated, with a drive for excellence. Versed in the authorization, appeals and denial process.
Familiar with commercial insurance
Understands insurance benefits and deductibles
Exceptional customer service
Excellent record maintenance
Medical terminology expert
Knowledge of CPT codes, ICD-9 and ICD-10
keyboard speed 80 wpm
Verification/ Authorization Specialist, 06/2006
to 02/2015 Landauer Medstar – Mount Vernon,
Verified patients' insurance benefits, eligibility and deductibles.
Determined prior authorizations for medical equipment.
Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
Precisely evaluated and verified benefits and eligibility.
Responded to correspondence from insurance companies.
Identified and resolved patient billing and payment issues.
Maintained and updated collections tracking spreadsheet to help organize payment information.
Confidently and adeptly handled authorization denials and/or appeals.
Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
Medical billing specialist, 10/2004
to 06/2006 Med Tech Professional Billing – New Rochelle,
Posted and adjusted payments for commercial, Medicare and Medicaid
Outsourced 800 to 1,000 charges per day
Reviewed all charges for completeness of numerical diagnosis codes
entered new patient accounts
Cashier Parking attendant, 02/1993
to 05/2004 Standard Parking Inc. – Valhalla,
NY (westchester medical center)
Greeted and assisted customers with directions and parking payments
Closed out register
Trained newly hired cashier's
Responsible for large amounts of money
certification: medical billing,
2004 Sanford Brown Institute - White Plains,