Insurance Verification Specialist

VERONICA A ROBINSON

**** **********

Houston, Texas 77026

Telephone: 713-***-****

Cell : 832-***-****

******************@*****.***

OBJECTIVE: Challenging position in Medical Office environment, where proven skills can be utilized. To ensure accurate and efficient verification and pre certification of patient accounts, growth and promotion within the company.

Work Experience

Metro Health Services

Houston, Texas 01/2012-01/2013

Home Health Aide-

Direct patient care, housekeeping duties, administer all medications to patient. Help patient with daily activities.

St Luke’s Episcopal Hospital

Houston, Texas 08/2004-01/2011

Insurance Verification Specialist- (Call Center)

Maximize collections by reviewing patient notes for amount quoted. Verify and authorize services prior to patient arrival. Verification and Precertification of Inpatient, Outpatient Diagnostic, Skilled Nursing, Direct Admit and Day Surgery patients via internet and phone. Obtained referrals and notifications from insurance company as needed. Daily verification quota eighty five patients and above. Fast paced environment. Up front collections, work up quotes. Place calls to insurance company to initiate pre-cert for additional days for patients already in-house as needed. Maintain working relationship with Doctor’s office regarding their patients. Basic knowledge of Room management and patient type changes. Excellent customer service skills. Proficient in Epic, Passport and Star Navigator for referrals, authorizations and benefits.

Texas Children’s Hospital

Houston, Texas 06/1989-07/2000

Admissions Counselor-(Emergency Room)

Maximize collections by reviewing patient notes for amount quoted. Schedule new and follow up appointments, as well as verify insurance and authorize services prior to patient’s arrival. Patient Registration of all inpatient and outpatient services. Verification and Precertification of Inpatient, Outpatient Diagnostic, Direct Admit patients. Up front collections and quotes. Obtain referrals and notifications from insurance company as needed. Cashiering experience. Post payments to patients account. Excellent customer service skills. Proficient in computer skills.

Skills

Excellent Customer Service

Advance Word Perfect

IDX Appointment Scheduling

Medical Terminology

Advance Lotus

Epic System-(referrals and authorizations)

ICD-9, CPT Codes

Star Computer System

First Data Computer System

Passport Computer System

Microsoft Word

REFERENCES AVAILABLE UPON REQUEST

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