Insurance Medical

Hilda Molby

**** ******* **** **., *** Antonio, TX 78228

Cell: 210-***-**** – acumfe@r.postjobfree.com

Summary

Insurance verifier with experience supporting physicians in a busy medical office. Expertise includes verifying insurance coverage, secondary billing, scheduling, answering phones, excellent people skills, reliable multi-tasker with family practice and psychiatry.

Highlights

Maintains strict confidentiality Team player with positive attitude

Knowledge of HMOs, Medicare and Medicaid Good written communication, bilingual

HIPAA compliance Strong work ethic

Medical billing software Exercises good judgment

Experience

Insurance Authorization

January 2016 to March 2016

Gastroenterology Consultants of San Antonio – San Antonio, TX

Verified insurance for patients prior to their appointments. Calculated benefits for patient’s office visits and procedures. Answered phones, sent out referral requests.

Insurance Verifier

November 2007 to December 2015

Hector X. Samaniego, Jr., M.D., PA- C – San Antonio, TX

Scheduled patient appointments. Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received for the Patient Account Representative. Confirmed patient information, Collected copays and verified insurance. Carefully prepared, reviewed and submitted patient statements. Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans. Efficiently performed insurance verification and pre-certification and pre-authorization functions.

Medical Biller/Receptionist

March 1996 to September 2007

Medics, P.C. – Edmore, MI

Recorded and filed patient data and medical records. Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and pathology reports as well as clinical studies) in support of existing diagnosis. Strictly followed all federal and state guidelines for release of information. Wrote clear and detailed clinical phone messages for physicians. Scheduled patient appointments. Accurately entered procedure codes, diagnosis codes and patient information into billing software.

Education

Associate of Applied Science: Associates Degree: 1994

Montcalm Community College –Sidney, MI

GPA – 3.4

High School Diploma: 1982

Lakeview High School – Lakeview, MI

GPA – 3.0

References

Upon Request

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