Insurance Specialist, Administrator Coordinator
Resume:
Dear [First Name] [Last Name] Dear [First Name] [Last Name]
I'm writing to apply for a position in your company. I am confident that my skills are well-aligned with the role, and that I would be an excellent fit for your organization.
I am motivated, task-oriented, and efficient, and my knowledge of the medical insurance coding and billing industry is comprehensive and current. While working as Credentialing Specialist at Galveston County Health District, I was responsible for credentialing providers, keep providers folders update and current information. I also accomplish the knowledge ability of reading and comprehending contracts for multiple insurances, Medicare and Medicaid during my time there, which has been a learning experience from verifying patients insurances.
Tracey Y. Smith
P.O. Box #866
Dickinson, Texas 77539
******@*****.***
Skills:
Exceptional listener and communicator who effectively conveys information verbally and in writing
Computer-literate performer with extensive software proficiency covering wide variety of applications
Flexible team player who effectively prioritizes and juggles multiple concurrent projects
Resourceful team player who excels at building trusting relationships with clients and employees
Innovative problem-solver who can generate workable solutions and resolve complaints
Confident, hard-working employee who is committed to achieving excellence
Education
National Institute of Technology - 2004 Houston, TX
Medical Insurance Billing and Coding Diploma
MacGregor Medical - 1993 Houston, TX
Certification in IDX Training
Work History:
2011-Current Action Personnel Services Galveston, TX
Texas City, TX
Credentialing Specialist (03/2015-07/2015)
Maintain regular cooperation and compliance with all regulatory, accrediting, and membership-based organizations.
Create and carry out various credentialing processes in relation to physicians, medical assistants, and various other healthcare professionals.
Ensure that all personnel and services adhere to facility and staff policies, department guidelines, regulations, and government laws.
Process applications and reappointment paperwork, checking for full completeness and accuracy. Constantly collect and process significant amounts of verification and accreditation information, must constantly maintain and update accurate databases for both practitioners and facilities.
Databases include pertinent education, training, experience, and licensure content. Prepare their own records for regular auditing, as well as maintain close communication with all appropriate practitioners to ensure that records are up-to-date and consistent.
Leasing Agent (04/2014 –10/2014)
Screens all applicants to determine eligibility
Responsible for move in file compliance; adhering to HUD, Rural Development, Tax Credit, Public Housing and/or Conventional Housing standards
Completes appropriate paperwork and follows compliance guidelines for leasing
Shows units to prospective residents
Works well with maintenance personnel
Responsible for alerting the Property Manager of any unusual occurrences and/or damages on property
Administrative Assistant – Housing Authority (12/2013 – 04/2014)
Responded to inquiries and resolves problems as requested by Director
Performed audit and quality checks on applicant files, signatures prior to submission
Submitted applicant eligibility information
Established, created and maintained spreadsheets and department files
Answered telephone calls, answered questions and took messages
Secretary – Internal Medicine/Gastroenterology (Univ. of Texas Medical Branch 03/2013-09/2013)
Scheduled and confirmed patient appointments
Compiled and record medical charts, reports, and correspondence
Receive and route messages and documents to appropriate staff
Prepared correspondence and assist physicians and staff with preparation of reports, speeches, articles
Assisted with medical records retention
Administrative Support Associate – (Univ. of Texas Medical Branch 11/2011 – 01/2013)
Used independent judgment to determine authenticity of external transcripts provided
Processed incoming student academic transcripts, including imaging and filing
Read and evaluated transcripts from previous colleges and universities, by comparing course credits, which are to be transferred with those required
Compute and checked grade point averages, verified class standing, and verified degree
Front Desk Assistant – (Univ. of Texas Medical Branch 6/2011 – 11/2011)
Answered phones and scheduled appointments while answering calls promptly and courteously and Registered patients and verified eligibility
Maintained and filed charts timely and accurately, created complete charts for new patients with all signed and completed paperwork
Checked to ensure that all patient records were accounted for and returned to medical records area; understand and follows HIPAA guidelines
2008-2010 Global Healthcare Alliance, Inc. Houston, TX
Pre-certification Specialist
Precertification of patient records, maintains pending pre-certifications as designed by contract or hospital request
Contacted payers to verify eligibility and applicable benefits including: pre-existing conditions, effective dates of coverage, limitations and exclusions, re-pricing companies, co-pays, deductibles and/or co-insurance, insured’s demographics, payer’s address and phone number
Monitored scheduling and notified scheduling department as needed and assists with verification of benefits as needed
Kept management staff aware of issues and concerns that impacts the company’s performance and patient satisfaction
Translated codes into insurance companies’ preferred coding system
2006-2008 Hospital Corporation of America League City, TX
Billing Specialist
Scheduled office appointments to ensure smooth patient flow and care
Answered phones, accurately completed telephone messages and directs them to the proper staff member
Accurately maintained patient appointment scheduled, monitored no-shows, cancellations and follow up appointments
Tactfully and effectively discussed finances, insurance benefit information and financial options with patients
Verified patients’ insurance coverage
Translate codes into insurance companies’ preferred coding system
Reference upon request
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