Sabrina Richard
INSURANCE VERIFICATION SPECIALIST/AUDITOR/BILLING SPECIALIST
Port Saint Lucie, FL
acw97r@r.postjobfree.com - 772-***-****
To obtain a position where I could use my experience in medical office administration Willing to relocate: Anywhere
Authorized to work in the US for any employer
WORK EXPERIENCE
Customer Service Supervisor
Claim-Doc - Stuart, FL - December 2015 to Present
Supervisor of Customer Service
Trainer
Implentation Specialist
Phone Call Analyist
Overseeing the call center and responding to escalated phone calls. Assisting other departments with daily workloads. Processing and reviewing big weekly timesheets and a host of other responsibilities. Such as:
- Eligibility
- Claims
- Provider look ups
- Contracting
- Benefit questions
- Making sure HIPAA is verified
- Verifying that ALL calls are properly documented by reps
- Reviewing employee phone calls for the purpose of quality assurance and training purposes. INSURANCE VERIFICATION SPECIALIST/AUDITOR/BILLING SPECIALIST Aid In Recovery - Palm City, FL - September 2014 to March 2015
• Used various systems to include Group Me, Avality and KIPU to maintain confidential patient information
• Verified and authorized inpatient and outpatient services, ensured timely and accurate insurance authorizations
• Process claims, ensure verification, authorization and documentation requirements meet payer requirements
• Prepare final bills for submission; follow up on unpaid claims and maintain records of claim status DENIALS AND APPEALS REP
Liberty Medical Supply - Port Saint Lucie, FL - April 2014 to September 2014
• Contacted insurance companies to inquire about denial reasons and follow up on status
• Submitted corrected claims with correct CPT codes to determine if claims need to be written off • Follow HIPPA guidelines
• Filed procedures to insurance companies timely
CUSTOMER SERVICE REPRESENTATIVE
Maximus/Florida Kid Care - Fort Pierce, FL - September 2013 to January 2014
• Advise customers of payment due dates and scheduling
• Provide information on children's plans
• Assist customers with completing applications and setting up online accounts
• Process income documents and verifying coverage and enrollment start dates CUSTOMER SERVICE REPRESENTATIVE
Maximus/Florida Kid Care - Port Saint Lucie, FL - September 2012 to August 2013
• Handled inbound phone calls;
• Researched patient medications, refilling prescriptions, advising of recalls, processing payments, verifying personal information
• Contacting patients advising of upcoming shipments EDUCATION
HIGH SCHOOL DIPLOMA
St James Academy - Fort Pierce, FL
2005 to 2009
SKILLS
Proficient in word, access, Excel, PowerPoint (5 years)