Insurance Verification Specialist

MICHELLE BLANCHARD

**** ******* ******, *********, ** 33021 • 954-***-**** (H) • 754-***-**** (C) • ******@*****.***

Insurance Verification Specialist

Seeking to utilize medical billing knowledge, office skills, and

computer capabilities to contribute at a clinic or hospital.

Detail-oriented and quality focused professional who has a keen understanding of medical billing codes and terminologies. Meticulous, diligent, and efficient with a solid foundation in software applications, database management, and computer data entry. Dedicated to maintaining accurate and confidential files/records. Additional keys to success include:

Proven multi-tasker with effective follow-up and time management capabilities.

People person with high degree of professionalism and excellent communication and presentation skills.

Computer proficient in Microsoft Word and Excel Programs. Avid Internet researcher.

CORE COMPETENCIES

Medical Terminology Medical Billing Documentations Management

Recording & Reporting Medical Insurance Medical Software Database Administration

Navinet Availity Medisoft Software NueMD

EDUCATION & TRAINING

Business Administration & Office Management Diploma, Fleming College, Peterborough, Ontario, Canada

Coursework: Bookkeeping, Computer Programming & General Accounting Software

PROFESSIONAL EXPERIENCE

Professional Revenue Recovery Solutions, Sunrise, FL (2/2015 – 11/2016)

Insurance Verification Specialist

Verifying insurance eligibility and benefits for substance abuse & mental health patients.

Calling Insurances and checking Availity to confirm benefits.

Cleaning up and maintaining facility NPI and tax ID spreadsheet.

Advising others on complicated situations

Hyperion Billing Solutions, Boca Raton, FL (2/2013 – 10/2014) Insurance Verification Specialist

Verifying insurance eligibility and benefits for substance abuse patients.

Calling Insurances and checking Availity to confirm benefits.

Posting and revising account details in master spreadsheet.

Primary trainer of new hires and transferred employees.

ADPI/Intermedix, Miami, FL (11/2011 – 2/2012) Payment Processor

Trained on company’s IMX System and posted payments for 2 counties.

Ensured highest degree of accuracy and confidentiality standards in all transactions.

Independent Contractor for ADPI/Intermedix, Hollywood, FL (12/2003 – 12/2010)

Information Specialist (Telecommute Position)

Researched hospital records, audited accounts for ambulance billings, and recorded changes or new information into the AS/400 System.

Reviewed and assessed a large volume of data and paperwork for insurance verification purposes.

ADPI/Intermedix, Miami, FL (6/1995 – 12/2003)

Computer Technical Support Agent & Medicare Processor

Responded to and resolved low-level hardware/software issues.

Downloaded new records and transferred to AS/400 System.

Investigated EOB’s for Medicare/Insurance, verified payment information, and posted data as required.

Verified and processed any overpaid accounts and completed forms for funds disbursement.

Performed computer data entry, customer service, and recording/reporting functions of the business.

Learned Medical terminology related to ambulance transportation.

Trained newly hired staff in all company processes, procedures, and protocol.

ADDITIONAL EXPERIENCE

Computer Programmer, CityCan Financial Corporation, Peterborough, Ontario, 12/1993 – 9/1994

Assistant Computer Programmer, COMFIX, Peterborough, Ontario, 4/1993 – 7/1993

ACTIVITIES & AFFILIATIONS

Active moderator with local free cycle board, interim moderator as needed, and mentor moderator who acclimates new moderators to processes and procedures.

Contact this candidate