Insurance Verification Specialist

Katrina's InformationLocation: Roswell, GATitle: Insurance Verification SpecialistExperience: 12+ yearsWork Types:

Willing to Relocate: NoWilling to Travel: No TravelCareer Level: IntermediateWork Status: U.S. CitizenInterests:

Hospital & Health CareMember Since: 2012-05-10 Helpful Links

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KATRINA BURKE

544 Huntington Place Roswell, GA 30076 Cell 470-***-**** Home 770-***-**** e-mail: *************@*****.***

Objective: A proven team player that can provide timely support on critical issues while promoting an overall company philosophy.

Profile: Motivated, personable, a quick learner, tactful with professionals and non-professionals at all levels. Entrusted with handling sensitive, confidential records.

Experience:

03/09-7/11/2011 RESURGENS ORTHOPAEDICS, Roswell, GA

INSURANCE VERIFICATION SPECIALIST:

 Contacted insurance companies to verify patient coverage and obtain information concerning extent of benefits, via phone, website or fax, also verify for DME benefits.

 Verified for all private insurance, Medicaid and Medicare.

 Verified insurance information and benefits on all new patients, and on any patient with new insurance. Follows up with patient for additional information as needed.

 Verified referral status. Follows up with patient or PCP to verify that referral has been made if required.

 Prepared new patient paperwork and any updates on existing patients.

 Provided Customer Service to all patients.

 Prepared same day add-on patient paperwork.

 Ensured all benefits are posted appropriately to the patients account by using electronic medical records as directed in the revenue cycle.

 Communicated with PAR's and front desk regarding needed information for the provider's clinic.

 Indicated the patient's financial responsibility by highlighting deductible, co-pays or co-insurance on the super bill and enters the co-pay amounts in the information system (IDX) as required.

11/07-05/09 WALMART, Windward Parkway, Alpharetta, GA

SALES ASSOCIATES/CASHIER DUTIES INCLUDES:

 Ensured that each customer receives outstanding service by providing a friendly environment, which includes

Greeting and acknowledges every customer, maintaining solid product knowledge and all other aspects of

customer service.

 Maintained awareness of all promotions and advertisements.

 Assisted in floor moves, merchandising, display maintenance and housekeeping.

 Assisted in processing and replenishing merchandise and monitoring floor stock.

 Aided customers in locating merchandise.

 Communicated customer requests to management.

 Assisted in completing price changes within the department.

 Participated in year-end inventory and cycle counts.

 Assisted in ringing up sales at registers and bagging merchandise.

 Any other tasks as assigned from time to time by any manager.

12/01-7/07 ASSOCIATION FOR THE HELP OF RETARDED CHILDREN, New York, NY

MEDICAL BILLER :

 Entered data from billing sheets into department database according to established guidelines.

 Alerted Billing Manager of coding combinations on billing sheets outside allowed combinations.

 Knowledge of ICD-9 and CPT coding using the Coding Manuals.

 Tracked outstanding encounters and all service providers who have not provided billing sheets.

 Billed claims for Medicaid and Medicare.

 Performed Quality Assurance on all medical files.

 Answered multi line phones.

 Maintained attendance and completed timesheets for Payroll.

 Ordered and maintained office and kitchen supplies.

 Filed, Photocopied, and Distributed Mail.

Education: LaGuardia Community College, Long Island, NY

Major: Data Processing - Attended (9/83 - 9/85)

Monroe College, Bronx, NY

Major: Computer Science - Attended (1/01 - 4/01)

Sanford Brown College, Atlanta, GA (05/08 - 06/09)

Major: Billing and Coding-Graduated

Software: Microsoft Office (Word, Excel, Outlook, and PowerPoint), Windows 95/98/NT 4.0/2000/XP, Emdeon, Adobe Photoshop, QuarkXPress 5.0, Lotus Notes, AS400, CMHC,IDX, Medisoft, Allscripts, and Touchworks.

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